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When You Lay Down With Dogs - Denver s Nursing Star

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 September 17, 2007
 September                        Vol. 8 Issue 14
                                  Vol.                                Information for Denver’s Nursing & Health Care Professionals            
                                                                    Locally Published, Owned and Operated Each Week by Metro Publishing LLC

 New Children’s hospital features                                                                                      When You Lay
 family-centered conveniences                                                                                         Down With Dogs
                                                                   A stay in the hospital can be
                                                              frightening for kids, and they’re often                           By Elizabeth Bussey Sowdal, RN

                                                              comforted by only one thing: their
                                                                   At The Children’s Hospital, the staff                        hen you lay down with dogs you are likely to
                                                              recognizes that families are our partners                         get fleas. That is what the police officer told my
                                                              in care, which is why they have                                   little, sweet, precious baby Andy when he and a
                                                              incorporated family-style conveniences in                         group of boys ( boys that I formerly thought of
                                                              every aspect of the new hospital.                                 as funny, sweet and nice but now see clearly as
                                                                   At The Children’s Hospital, the              the hooligans and future delinquents that they undoubtedly
                                                              philosophy of family-centered care means          are) were caught smoking cigarettes across the street from the
                                                              family members can conveniently remain            school recently.
                                                              with the child 24-hours-a-day, seven-days-             Andy said that he was not smoking. Before I left work for
                                                              a-week.                                           home, after Mike had called me to tell me about the Great
                                                                   “Because parents know their children         Smoke Out, I told my friend that Andy would say that he was
                                                              best, we’ve made the family an integral           with the boys, but was not smoking. While I was at work I
                                                              part of our healthcare team,” said Kathleen       could see very clearly that he would tell me that and that it
                                                              Reeves, MS, LPC, director of family               would most likely be a lie. What I did not tell my friend was
                                                              services for The Children’s Hospital.             that I would believe Andy to the depths of
                                                                   “By making the hospital more family-         my heart.
                                                              friendly, we’re making it easier for parents           I always believe my
                                                              and siblings to be involved in the day-           children. Even when it is L a u g h i n g
                                                              to-day medical, emotional and social needs        painfully obvious that they with
                                                              of their child.”                                  are lying. Even if they Elizabeth
                                                                   “We’ve designed the Heart Institute          immediately contradict
                                                              around this family-centered model. The            themselves. I can’t help it.
                                                              Heart Institute services are almost entirely      When I see their faces I
                                                              on the third floor, making it easy for            believe them. I think that they
 Janet Davis, RN, MSN, director of The Childr en’s Hospital
        Davis RN, MSN, director
          vis,                               Children
                                                   en’        families to provide care and support for          are able to hypnotize me.
 Hear t Institute, believes in ffamily-centered care.
 Heart Institute, believ         amily-centered care
                                 amily-center                 their children,” said Janet Davis, RN, MSN,            This is not the first
                                                                                                                             See Elizabeth , Page 2
                                                                                                                                 Elizabeth Pa
                                                                                               Famil Pa
                                                                                           See Family, Page 3

Exempla earns Gold                                                         Myocardial Infarction, Heart Failure, Hip Fracture, Joint
                                                                           Replacement (hip), Joint Replacement (knee), Spinal Fusion,
                                                                                                                                                      Komen Denver Race for
                                                                           and Primary Stroke Center.                                                 the Cure date

Seal of Approval                                                               ELMC is the first hospital in Colorado to receive these
                                                                           certifications in six of the seven programs, and is the first in
                                                                           the country to receive it for Hip Fracture. Exempla Lutheran

                                                                                                                                                      Pg. 2
                                                                           Medical Center is the second hospital in the country to receive
                                                                           Disease-Specific Care Certification for Spinal Fusion.
    The Joint Commission has          hospital the Gold Seal of                To earn this distinction, a disease management program
rewarded the high-quality care        Approval.                            undergoes an extensive, unannounced, on-site evaluation by a               Continued Education
in seven programs at Exempla             ELMC has received                 team of Joint Commission reviewers every two years. The
Lutheran Medical Center               Disease-Specific    Care             program is evaluated against Joint Commission standards through
(ELMC) by presenting the              Certifications in Acute              an assessment of a program’s processes, the program’s ability              Pg. 4
                                                                                            to evaluate and improve care within its own
                                                                                            organization and interviews with patients and
                                                                                                                                                      My Point of View... Commentary by
                                                                                                “This certification means that Exempla                Colleen Folsch, MSc, BSc
                                                                                            Lutheran Medical Center does the right things
                                                                                            and does them well,” says Jean E. Range, M.S.,
                                                                                            R.N., C.P.H.Q., executive director, Disease-              Pg. 5
                                                                                            Specific Care Certification, Joint Commission.
                                                                                                “Lutheran’s Human Motion Institute would
    Longmont, CO 805                                                                        not have achieved this recognition without the
       Permit #16                                                                           collaborative efforts of both the staff & our             A Decision About
           PAID                                                                             physicians,” says Diane Rossi, Lutherans Human
       U.S. Postage                                                                         Motion Institute Coordinator. “Physicians are
    Presorted Standard
                                                                                                                                   See Gold, Page 2   Pg. 6
Page 2                                                                   September 17, 2007                                                            Denver’s Nursing Star

                                            art of healing and the science of                                                        a very big responsibility to tell me the
Gold                                        medicine throughout metro Denver.
                                                Today, the 400-bed, community-
                                                                                         Elizabeth                                   truth at all times.
                                                                                                                                         Because I told them this, I can
Continued from Page 1
Continued from Pa                           based hospital offers a comprehensive        Continued from Page 1
                                                                                         Continued from Pa                           often tell, intellectually, when they are
                                            spectrum of specialized care, from birth                                                 lying because they look so awfully
such an integral part of our program        to end-of-life.                              smoking incident. One time some years       miserable. They look like you would
and we want to take a moment to                 Every patient can be assured of          ago, I went upstairs to find the boys       expect children to look when they have
thank them for all their hard work in       receiving the highest standard of care.      bedroom filled with cigarette smoke.        not only been doing something they
helping us achieve a one-of-a-kind in       Lutheran’s national accreditations           Andy and the neighbor boy (the same         shouldn’t have been, or have not been
musculoskeletal care in the State of        include Level III Trauma, Level III          neighbor boy he was with this time,         doing something they should have
Colorado.”                                  Neonatal, Chest Pain Centers of              by the way) were standing side by           been, but they also look like children
    “We’re proud to receive this            America, and is the region’s only Sleep      side in the middle of the room, facing      who are lying to their mother.
distinction,” says Chris Wright,            Disorders Center.                            the door, their eyes huge and startled.         Which works very nicely for me. I
Lutheran’s Heart and Neurovascular              The hospital’s 2,500 employees, 800           "What are you doing in here?" I        know, suddenly, that they are lying,
Center coordinator.                         physicians and 1,200 volunteers have         asked rhetorically.                         but I do not let on that I know. They
    “The surveyors saw first-hand our       helped Lutheran earn numerous                     You know what they said just as I      usually come around pretty quickly.
commitment, expert knowledge, passion       recognitions, including being named          knew what they were going to say                Sometimes I remind myself of old
and pride that our teams show every         one of the nation’s Top 100 Hospitals        before they said it.                        Mr. Sanford in the TV show "Sanford
single day.”                                seven times.                                      "Nothing."                             and Son." Remember how he would
    The Joint Commission launched its           Lutheran’s legacy of trusted care             But as Andy said, "Nothing," he        fake a heart attack when his son fussed
Disease-Specific Care Certification         continues with the openings of Collier       looked at the toy box.                      at him? Well, I don’t do anything nearly
program in 2002. It’s the first program     Hospice Center and Lutheran Surgery               "No way!" I exclaimed.                 so dramatic. But I can tear up pretty
of its kind in the country to certify       Center in 2006, and Exempla Lutheran              Andy nodded. I quickly opened the      convincingly when I finally come to
disease management programs.                Medical Center – Southwest in spring         toy box and found the still smouldering     the realization that I have been
    Since 1905, Exempla Lutheran            2007. Exempla Lutheran Medical               cigarette they had been sharing. But        hoodwinked. And what can be worse
Medical Center has been advancing the       Center…Leading by Example.                   do you know, that for just a split          for even a half way decent child than
                                                                                         second, a nano-second, when Andy            his mother’s tears?
                                                                                         said, "nothing," I kind of relaxed a            So. Another milestone. My last
Komen Denver Race for                                                                    little. I almost thought, ‘oh good.
                                                                                         Because for a moment there, I thought
                                                                                         you were smoking and trying to burn
                                                                                                                                     child, my youngest, got caught doing
                                                                                                                                     something bad. This tells me a few
the Cure date announced                                                                  the house down.’
                                                                                              For one teensy bit of a second I
                                                                                                                                         It is time to hope that he has
                                                                                                                                     grown a little good sense along with
                                                                                         believed him, even though the room          those great big feet.
                                                                                         was full of smoke and even though               It is time to admit that he is not a
     The Denver Metropolitan Affiliate      with A Pink Tie Affair and additional        they both looked guilty, were               baby anymore.
of Susan G. Komen for the Cure,             fund-raising efforts throughout the          undoubtedly both guilty.                        It also means that he is just that
formerly known as the Susan G. Komen        year, helped the Denver Affiliate raise           But do not worry. I have               much closer to growing all the way
Breast Cancer Foundation, has set           millions of dollars to assist in the fight   successfully defused a potentially          up. Up and out. I hate that idea.
Sunday, October 7 as the date for the       against breast cancer.                       dangerous situation. I told my children
fifteenth annual Komen Denver Race              In April 2007, the Affiliate awarded     straight out that I loved them so much
for the Cure.                               more than $3 million to fund 35 local        and that I always believed everything
     The 5K run/walk starts and finishes    projects focusing on breast cancer           they told me.                                    Elizabeth Bussey Sowdal and Michael
                                                                                                                                     Sowdal have been married 14 years and have
at Pepsi Center with an Awards/             education, screening, treatment and               I told them that I had tried to        six children together. She is a practicing RN
Survivors’ Tribute Ceremony and             support.                                     change this about myself, but that I        and freelance writer. As well, Elizabeth directly
corporate sponsor Expo.                         Another $1 million was awarded           had not been able to. I told them that      credits Michael with her nursing career
     Entry fees are $30 for adults, $20     to international and national breast         because they knew that I would              because she would not have made it through
for children 18 and under and adults        cancer research through the Komen            swallow any lie they fed me they had        chemistry without him.
65 years old and older. Family packs        Award and Research Grant Program.
for two adults and two children are             Up to 75 percent of the money            county service area.                        international organization with a
$90. Prices increase the day of the Race.   raised (minus expenses) supports                 The Affiliate has also contributed      network of more than 75,000 volunteers
     Susan G. Komen Race for the            Denver-area breast cancer programs,          more than $6 million to research            working through local Affiliates and
CureÒ? Series raises significant funds      clinical trials, and life-saving services    through Komen National over the past        events like Komen Race for the Cure®
and awareness for the fight against         for women of all backgrounds and ages.       13 years.                                   to eradicate breast cancer as a life-
breast cancer, celebrates breast cancer         The remaining 25 percent is                  In April 2007, the Affiliate awarded    threatening disease.
survivorship and honors those who           awarded to breast cancer research            more than $3 million to fund 35 local            A global leader in the fight against
have lost their battle with the disease.    through Komen national.                      projects focusing on breast cancer          breast cancer, Komen fulfills its mission
     With funds raised by the Komen             The Denver Affiliate was founded         education, screening, treatment and         through support of innovative breast
Race for the Cure Series, the Komen         in 1994 to carry out the mission of the      support. Another $1 million was             cancer research grants, meritorious
organization with its Affiliate Network     national organization on a local level.      awarded to international and national       awards and educational, scientific and
is able to fund breast cancer research      As a grant-making organization, the          breast cancer research through the          community outreach programs around
grants, meritorious awards and              Affiliate distributes the funds raised       Komen Award and Research Grant              the world.
community outreach programs.                through special events such as the           Program.                                         Through fiscal year 2006, Komen,
     Since its origination in Dallas,       Komen Denver Race for the Cure and               Seventy-five percent of the money       together with its Affiliate Network,
Texas, in 1983, the Komen Race for          the Pink Tie Affair™, as well as through     raised (minus expenses) supports            corporate partners and generous
the CureÒ? Series has grown from one        the generosity of individual and             Denver – area breast cancer programs,       donors, has invested nearly $1 billion
local Race with 800 participants to a       corporate donors, right back into the        clinical trials, and life-saving services   in breast cancer research, education,
national series of more than 100 Races      community.                                   for women of all backgrounds and ages.      screening and treatment programs.
with over 1.4 million people expected           Since 1994, the Affiliate has raised         Susan G. Komen for the Cure,                 For more information about this
to participate in 2007.                     more than $23 million, and has awarded       formerly known as the Susan G. Komen        year’s Race, call 303-576-8705 or visit
     The 2006 Denver Race, which            $17 million to not-for-profit                Breast Cancer Foundation, was               www.komendenver.orgFor more
boasted 66,615 participants, is the         organizations that provide breast health     established in 1982 by Nancy Brinker        information about breast health or
largest footrace in Colorado’s history,     and breast cancer education, screening,      to honor the memory of her sister,          breast cancer, visit or
and the largest Komen Race for the          treatment and treatment support              Susan G. Komen, who died from breast        call the Komen’s Toll Free Breast Care
Cure in the nation.                         services to uninsured and underinsured       cancer at the age of 36.                    Helpline at 1.800 I’M AWARE
     In 2006, the Denver Race, together     individuals living in the Affiliate’s 12-        Today, the organization is an           (1.800.462.9273).
Denver’s Nursing Star                                                             September 17, 2007                                                                             Page 3

                                                                                              surgery area are designed for kids to
                                                      Family                                  relax before going into surgery.
                                                                                                      A Creative Play Center acts as
                                                                                                                                              Pets encouraged to
                                                      Continued from Pa
                                                      Continued from Page 1                   a daycare center for siblings of patients
                                                                                              in the hospital.
                                                                                                                                              participate in race
             Published                                                                                A unique Teen Media Center                    The Denver Metropolitan Affiliate
     by Metro Publishing, L.L.C.                                                              has been designed just for teens.                of Susan G. Komen for the Cure,
                                                      director of The Children’s Hospital             A convenient parking garage is           formerly known as the Susan G.
                  Publisher                           Heart Institute.                        dedicated to patients, families and              Komen Breast Cancer Foundation, is
               Steven R. Eldridge                          “ I n                                                        visitors.              encouraging pet lovers and owners to                   addition,                                                                       A        participate in its inaugural K-9s for
                                                      we practice        “So much of a family’s fears can family health                        the Cure event and dog walk on
                    Editor                                                                                                                     Saturday, October 6 at City Park in
                Crystal Beshear
                                                                         be reduced not just by the level lempowers rthe  i b r a y
                                                                                                                                               Denver, the day prior to the 15th Annual                                     of care provided, but also by the f a m i l y w i t h                 Komen Denver Race for the Cure.
                                                      w h i c h                                                                                     In order to honor and celebrate
              News Consultant                         means as           environment,” said Tracy Price- i n f o r m a t i o n                 both survivorship and co-survivorship,
 Dr. Linda Mundorff (Rener) MPH, MSN, ND, RN, NC      often as
                                                      possible,          Johnson, MBA, family-centered ao v eudt o h e i’ r
                                                                                                                          bo      t
                                                                                                                                    ne s
                                                                                                                                               K-9s for the Cure was born. For $35,
                                                                                                                                               registrants will receive a bandana for
                    W riter s
                                                      patients           care consultant for The illness.                                      their pet and a K-9s for the Cure T-
                                                      receive care       Children’s Hospital.                                “So much          shirt for themselves. This program is
                Douglas Walter                                                                                                                 limited to individual registrants
                 Sid Goldwell                         from the                                                          of a family’s
                                                      same nurses                                                       fears can be           only. As an added bonus for
                Sarah Sangosti                                                                                                                 participating in our inaugural event,
                James Coburn                          throughout                                                        reduced not
                                                      their stay.”                            just by the level of care provided, but          registrants will be automatically
                Elissa Crocker                                                                                                                 registered for Sunday’s Race for the
                   Mike Lee                                Here are some of the family- also by the environment,” said Tracy                   Cure and will receive that event T-
                   Lea Terry                          friendly features found in our new Price-Johnson, MBA, family-centered                   shirt as well.
                    hospital:                               care consultant for The Children’s                    K-9s for the Cure will be held on
                                                           Private rooms with sleeper chairs Hospital.                                         the north side of 17th and Steele Streets
             Boar d of Commentar y
             Board                                    can accommodate up to two overnight          “If it feels like a healing                 in City Park. In addition to the walk,
                   Martha Collar                      guests, as well as private bathrooms environment that welcomes the entire                the event includes pet first aid/disaster
                  Eileen Doherty                      with a shower.                          family, each family member will be               plan demonstrations, entertainment, a
                Mary Jo Fay, RN, MS                            Family lounges and hospitality less anxious and experience less stress.         product expo area, and treats for the
                   Colleen Folsch                     areas feature additional sleep rooms, This enables them to support the                   four-legged participants.
                  Virginia Gillispie                  washers and dryers and a kitchenette. patient that much better.”                              To register or for more
                    Vicki Jenkins                                                                  For more information on The                 information,                       visit
                                                               A “room service” menu features
                Angela Lash, RN, CM                                                                                                   and click on
  Dr. Linda Mundorff (Rener) RN, MPH, MSN, ND         ample meal and snack choices.           Children’s        Hospital,          visit       the K-9s logo.
               Carol Shenold, RN, CIC                           Playrooms in the outpatient
                Sherry L. Ray, CPCC
            Deresa Claybrook, MS, RHIT                                                                                                        of mesothelioma, a terminal form of
          Vicki Mayfield, M.Ed., RN, LMFT             Clinical trial to test                                                                  cancer that develops primarily in the
                                                                                                                                              lining of the lungs and the abdomen.
            Classified Ad v er tising
                  Annette Deckard
                                                      effectiveness of Vorinostat                                                             Research into malignant mesothelioma
                                                                                                                                              has shown that mesothelioma generally
                                                                                                                                              occurs at least fifteen years after the
                   John G. Smith
                                                          A phase III clinical trial is           mesothelioma research study must have
                                                      underway, in Maryland, at the National      a histologically or cytologically           initial exposure to asbestos.                                                                                                              Asbestos can cause mesothelioma
                                                      Institutes of Health Clinical Center, to    confirmed diagnosis of pleural
                                                      determine how effective vorinostat is       mesothelioma, which may be of the           even when the exposure occurs for a
            Ad Ser vices Mana g er                    at treating patients with pleural           epithelial, sarcomatoid or mixed sub-       short duration. Asbestos fibers are
                    Lisa Ngo                          malignant mesothelioma.                     type. All patients must also have           microscopic and exposure can occur                                                                                                       without a worker even knowing it.
                                                          Research is underway specifically       previously gone through 1 or 2
                                                      about Vorinostat, also known as             standard systemic mesothelioma              Mesothelioma occurs not only in people
            Accounts Coordinator                      suberoylanilide hydroxamic acid, is         treatments that included pemetrexed         working directly with asbestos products
               Gaye Hannan, LPN                       marketed under the brand name               disodium and either cisplatin or            but also in bystanders and family                Zolinza.                                    carboplatin. Researches on behalf of        members exposed to asbestos dust.
                                                          This mesothelioma clinical trial will   the mesothelioma clinical trial hope for         Attorneys at LPK have prosecuted
                                                      try to ascertain the level of toxicity as   some positive results and low side          mesothelioma lawsuits in New York
Denver's Nursing Star is published throughout                                                                                                 and New Jersey for more than twenty-
the Denver metro area. With more than 10,000          well as any side effects that are           effects in the trial study of Vorinostat.
                                                      occasioned in patients who have been            For more information on this            five years. LPK has offices in New
weekly e-publication readers and more nearly
19,000 online each week, Denver's Nursing Star        prescribed Vorinostat (Zolinza) and to      clinical trial for mesothelioma please      York and New Jersey and directly
is the largest health care publication in Colorado.   compare these results against those of      visit National Cancer Institute’s           represents victims of asbestos-related
                                                      patients who have been administered         webpage.                                    diseases, including mesothelioma, in
                                                      a placebo.                                      Asbestos is the only known cause        both states.
Opinions expressed in columns and letters to              The title for this ongoing project
the editor are not necessarily the opinions of
employees, ownership of this newspaper or the         is “A Phase III, Randomized, Double-
publishing company
pub lishing compan y.                                 Blind, Placebo-Controlled Trial of Oral
                                                      Suberoylanilide Hydroxamic Acid (L-
                                                                                                                          Check It Out!
          In Lo ving Memor y of                       001079038) in Patients With Advanced
         our brother and friend                       Malignant Pleural Mesothelioma                      To respond to the message board
       Randall (Randy) I. Eldridge                    Previously Treated With Systemic                   submissions on our website, go to
                                                      Chemotherapy“ Raffit Hassan, MD, is
                                                      the protocol chair for this study.         
        Phone (720) 283-2209                              The expected enrollment for the
         Fax (720) 283-2198                           mesothelioma clinical trial study is 660     To add a topic for debate or comment, send
                                                      mesothelioma patients.                       us an email at
                                                          All patients in this malignant
Page 4                                                                                 September 17, 2007                                                            Denver’s Nursing Star

Continued Education
                                         participants): $100.00 2004 ENPC         practices in the handling, storing     ment, spinal immobilization, and     Hospital reserves the right to
   September                             textbook: $40.00                         and feeding of mothers’ own milk in
                                                                                  the NICU. Nursing: The Children’s
                                                                                                                         resuscitation of the trauma
                                                                                                                         victim. 19 Continuing Education
                                                                                                                                                              cancel this course in the event of
                                                                                                                                                              an unforeseen circumstance, or if
                                                                                  Hospital is an approved                Contract hours are awarded by        the minimum acceptable registra-
09/26/07 – 09/27/07                                                               provider of continuing nursing         the Emergency Nurses Associa-        tion is not attained 2 weeks prior
Emergency Nursing                                                                 education by the Colorado Nurses       tion for course completion,          to the course, with a full refund
                                         Sept. 28, 2007 12th
Pediatric Course (ENPC)                                                           Association, an accredited approver    regardless of performance on the     of the registration fee. Contact:
                                         Annual Regional Allied
                                                                                  by the American Nurses                 written exam and skills stations.    Starlight Wagner at 303-861-
                                         Health Conference
Session 1 Time: 7:30AM to                                                         Credentialing Center’s Commission      Full registration fee will be        6336. You may also email at:
5:00PM Location: The Children’s                                                   on Accreditation. This educational     refunded only if written cancella-
                                         Denver, CO Contact: Professional
Hospital Vestal Education Center,                                                 offering for 7.4 nursing contact       tion is received within 7 days       Cost: TCH Staff and ENA
                                         Education, National Jewish
6th Floor                                                                         hours is provided by The Children’s    prior to the course. The textbook    Members: $175.00 Non-TCH
                                         Medical and Research Center Tel:
Location Directions: At The                                                       Hospital (Thursday evening 1           fee is non-refundable. No refund     Staff: $190.00 Audit Fee (Non-
                                         (303) 398-1000 E-mail:
Children’s Hospital main campus,                                                  contact hour; Friday - 6.4 contact     will be given for non-attendance,    RN or Non-testing participants):
take the Health Center elevators                                                  hours). Other: A certificate of        although you may send a              $100.00 2000 TNCC textbook:
                                         ProEd National Jewish Medical
from the parking garage on the                                                    attendance will be provided for all    substitute. The Children’s           $40.00.
                                         and Research Center is an
North side of the hospital up to                                                  other participants. Registration
                                         approved provider of continuing
the 6th floor. Session 2 Time:                                                    questions? Please call Education
                                         nursing education by the
                                                                                  Services at (303) 861-6123.
7:30AM to 5:00PM Location: The
Children’s Hospital Vestal
Education Center, 6th Floor
Location Directions: At The
                                         California Board of Registered
                                         Nursing, Provider Number CEP
                                         12724. This program is approved
                                         for 8.0 Nursing Contact Hours.
                                                                                             Open                                              FREE
Children’s Hospital main campus,
                                                                                  Ultrasonic Guided PICC
take the Health Center elevators
from the parking garage on the                  October                           Insertion Utilizing the                Continued Education Listings in Denver’s Nursing
North side of the hospital up to                                                  Sonosite iLook System                   Star Online Edition and E-Publication are FREE.
the 6th floor. The Emergency                                  NEW!                                                       Please fax this form to announce your continuing
Nursing Pediatric Course (ENPC),                                                  Please contact us for additional
a course designed by the                 10/11/07 & 10/12/07 30th                 information at (303) 680-2243.
                                                                                                                          education course to our readers. FAX: 720-283-
Emergency Nurses Association,            Annual                                   Registration and payment must
teaches a core level knowledge           L. Joseph Butterfield                    be received at least one-week in                   2198 or email your CEs to
and psychomotor skills associated        Perinatal Conference -                   advance of seminar dates. Class
with the delivery of pediatric           Perinatal Care: 2007                     size is limited so register early. If you have any
nursing care to trauma and               Updates and Controversies                Learn to place PICC catheters
                                                                                                                           questions, you may contact us at 720-283-2209.
critically ill patients. Students will                                            with the Sonosite iLook Ultra-
be required to test out of 2             As we celebrate the 30th annual          sound! Course objectives:
psychomotor skills stations and
complete a multiple choice written
                                         perinatal conference, much
                                         progress has been made in the care
                                                                                  Discuss advantages of ultrasonic
                                                                                  guided PICC insertion; Review
                                                                                                                           Hours: Indicate Credit Hours/Credit
exam. Upon successful                    of high-risk pregnant women, sick        concepts of ultrasound; Review           ________
completion of the course,                newborns and their families. Still, we   A&P of upper arm; Discuss the
certification is awarded by the          have more work to do. This               features of the Sonosite iLook;
Emergency Nurses Association             conference will provide a forum for      Demonstrate visualization of
                                                                                  veins and arteries; Practice
and is valid for four years.             perinatal health care professionals
Participants are required to have        that will enhance and broaden            procedure utilizing “Peter PICCs.”
read the ENPC 2004 course                knowledge of current and future          Prerequisite - Should be profi-
manual prior to the course. You          perinatal practice. Issues to be         cient in the MST (Modified               ________Registered Nurse
must have the 2004 course                addressed include aspects related        Seldinger Insertion Technique.)
manual for the entire duration of        to antenatal, intrapartum and            For more information, visit
the course. The course                   neonatal care. This conference is               ________Licensed Practical Nurse
population is primarily nurses;          intended for RNs and other
however other health care                maternal/child health providers
providers can audit the course for       practicing in a variety of settings      Trauma Nursing Core                      ________Nurse Anesthetist
a small fee. Upon completion of          throughout Colorado, Wyoming,            Course (TNCC)
the course participants will be          Nebraska and the msurrounding
able to: * Demonstrate knowledge         region. Upon completion of this          The Trauma Nursing Core                  ________Physician’s Assistant
of pathophysiology as a focus for        conference, participants should          Curriculum (TNCC), a course
the signs and symptoms of injury         be able to: Examine barriers to          designed by the Emergency
for pediatric patient. *                 lactation for mothers who choose         Nurses Association, teaches a
Demonstrate appropriate                  not to provide milk and discuss the      core level knowledge and
                                                                                                                           ________Administrator: Administration
psychomotor skills related to the        Rush Mothers’ Milk Club (Thursday        psychomotor skills associated
care of a ill or injured pediatric       evening presentation). Identify          with the delivery of nursing care
patient including airway                 necessary components for an              to trauma and critically ill             ________Administrator: Resident Care
management, spinal                       optimal intrauterine environment.        patients. Students will be
immobilization, and resuscitation        Review current evidence-based            required to test out of 3 psycho-
of the pediatric patient. 19             practices for prenatal diagnoses.        motor skills stations and com-           ________OTHER (please explain)
Continuing Education Contract            Recall events and interventions over     plete a multiple choice written
Hours are awarded by the                 the past three                           exam. Upon successful comple-            ________________________________________
Emergency Nurses Association             decades that have humanized              tion of the course, certification is
for course completion, regardless        neonatal care and the newborn            awarded by the Emergency                Admission:________________________________
of performance on the written            environment. State recent practice       Nurses Association and is valid
exam and skills stations. Payment        updates from the AAP Fetus and           for four years. Upon completion
and Registration Contact: Ann            Newborn Committee. Explore infant        of this course, participants            Date:________________________________________
Crepin at 303-861-6336. You may          and maternal risk factors                should be able to: * Demonstrate
also email at:                           contributing to common clinical          knowledge of pathophysiology as Cost:             lactation problems and useful            a focus for the signs and symp-
TCH Staff &              research technologies, including         toms of injury. * Demonstrate
ENA Members: $175.00                     test-weights,         creamatocrit       appropriate psychomotor skills
Non-TCH Staff: $190.00 Audit Fee         measures, nipple shields and more.       related to the care of the trauma
(Non-RN or Non-testing                   Discuss the evidence for best            patient including airway manage-
Denver’s Nursing Star                                                       September 17, 2007                                                                                   Page 5

                                                                             OPINION        further ill health for patients. Pain,          patients.
When the Heart Fails...                                                                     dyspnea and altered mental status are
                                                                                            common problems associated with heart
                                                                                                                                                 The focus of the inpatient unit is
                                                                                                                                            primarily on aggressive treatment of
                                               failure is coronary heart disease, however   failure and without the support of trained      symptoms and takes hospice services to
My Point of View...                            a number of other diseases such as           palliative care staff, patients often end       a new dimension in Oklahoma by
Commentary by Colleen Folsch, MSc, BSc cardiomyopathy, valvular disease and                 up returning to the emergency room with         providing multidisciplinary care and
                                               congenital heart disease can also result     exacerbation of symptoms which could            utilizing the latest research in pain and
                                               in heart failure. Heart failure results in   be more effectively controlled under the        symptom control. Patients and their
                          When considering debilitating symptoms such as                    care of hospice.                                families are often reluctant to use opiates,
                          palliative care, the breathlessness, extreme fatigue and               The goal of hospice is to afford dignity   however Odyssey House provides the
                          large section of lethargy, as well as signs of air hunger         and quality of life in the face of terminal     education and support necessary in order
                          O k l a h o m a ’ s and fluid retention. The majority of          illness, however many patients are not          to assist patients in making informed
                          population living patients with chronic heart failure use a       aware that hospice care is an option,           decisions about their care. Morphine can
                          with congestive combination of diuretic therapy, ACE              nor are they aware that hospice focuses         be extremely beneficial in aiding
                          heart failure inhibitor and beta blocker medications,             on aggressively treating and controlling        respiration and reducing anxiety for
                          (CHF) cannot be however there are a large number of               the symptoms that are causing pain and          patients in congestive heart failure.
                          overlooked. CHF patients for whom these therapy options           discomfort. It is therefore imperative that          The ever increasing number of
                          has a major have been exhausted and whose condition               the healthcare community at large               patients living with chronic heart failure
                          impact on the is likely to deteriorate rapidly.                   recognize when chronic conditions are           in Oklahoma necessitates a forward
        Folsc MSc,
Colleen Folsch MSc, BSc lives of patients           In the past there may have been some    no longer appropriate for curative care         thinking approach in order to explore
                          and their families reluctance on the part of health care          and provide education and support to            options when treatment is no longer
and the debilitating symptoms associated professionals to discuss death with patients       patients about the value that palliative        successful. Odyssey House is proving to
with end stage heart failure warrant and families affected by heart failure when            care can bring to their lives.                  be a valuable link in the treatment chain
medical professionals looking more closely treatment is no longer successful.                    Odyssey HealthCare’s inpatient unit,       for cardiac patients and offers the hope
at the benefits of palliative care for these However, palliative care is increasingly       Odyssey House, Oklahoma’s only acute            of comfort and dignity to its patients
patients.                                      being seen as a treatment option which       care hospice inpatient facility, recognizes     and their families.
     Heart failure can be described as the can afford patients improved quality of          the multitude of problems that may arise
inability of the heart to support the life by offering aggressive symptom                   for patients with end stage cardiac failure.
physiologic requirements of the body and control, psychological support and                 Pulmonary edema, skin breakdown and
carries a greatly increased mortality risk ultimately a peaceful and dignified death.       worsening renal function may cause
for patients. The incidence of heart failure        According to Ward (2002)                immense distress to patients and their
is rising as the population is ages and communication with patients suffering               families. The use of oxygen, positioning,            Colleen Folsch, BSN, RN, is a columnist,
the demand for acute and palliative care from heart failure is generally perceived          assistance with daily living activities,        who holds a Masters Degree in Psychology
for cardiac patients is increasing. Heart to be inadequate. Without adequate frank          meticulous skin care, appropriate               and works for Odyssey House and St.
failure is a complex syndrome that can discussion about the debilitating symptoms           medication for pain and respiratory             Anthonys Hospital’s Critical Care Unit. She
result from a structural or functional which may arise as a result of cardiac               distress and a calming environment              originates from Egypt and has an extensive
disorder that impairs the hearts ability to failure that is unresponsive to treatment,      contribute greatly to reducing the anxiety      background in HIV/AIDS care and counseling
pump effectively. The major cause of heart depression and anxiety may well lead to          and discomfort experienced by these             in London, England.

                                                                                             some phone answering tips that will                 Deresa Claybrook, MS, RHIT has over
Phone Etiquette and Privacy                                                                  ensure that callers know they're dealing
                                                                                             with a winning business.
                                                                                                                                            25 years in the health care industry. She is
                                                                                                                                            the president of Positive Resource, which
                                                                                                 1) Answer all incoming phone calls         specializes in Human Resource Management
                                               someone else and I had to repeat my before the third ring.                                   and Health Information Management with a
On the Record...                               information to her twice. She proceeded           2) When you answer the phone, be           special emphasis on transitioning the health
Commentary by Deresa Claybrook, MS,            to inform the other individuals that her warm and enthusiastic. Your voice at the            care community to the Electronic Health
RHIT                                           shift was almost over and she wanted end of the telephone line is sometimes                  Record (EHR).
                                               to accompany them. After confirming the only impression of your practice a
                                               her social plans, she gave me a date and caller will get.
                                               time for the next available appointment.          3) When answering the phone,
                                                    I reminded her that I had been there welcome callers courteously and identify
                                               before and, regardless of my insistence, yourself and your office/department.
                        Calling          to    that I had never been to the facility             4) Enunciate clearly, keep your voice
                        schedule         an    before. She proceeded to talk to someone volume moderate, and speak slowly and
                        appointment for a      again, told them to hang on and that she clearly when answering the phone.
                        test at a hospital     would get to it later. She reminded me            5) Control your language when                 Oklahoma’s Nursing Times
                        is not a pleasant      again of my appointment time. I told her answering the phone.
                        task and the same
                        can hold true for
                                               thank you and hung up.                            6) Train your voice and vocabulary
                                                    I thought to myself about how to be positive when phone answering,
                                                                                                                                            Board of Commentary
Deresa Claybr
           ybrook, MS,
                        a        doctor’s
Der esa Claybr ook, MS, appointment.           unprofessional she was. I also wondered even on a "down" day.                                        Vicki L. Mayfield, M.Ed., RN, LMFT
                                               who was within ear shot of my personal            7) Take telephone messages completely                         Martha Collar
RHIT                         The medical       information because she repeated my social and accurately, as well as make sure the                             Eileen Doherty
                        reasons behind         security number out loud. That particular message gets to the intended recipient.                            Mary Jo Fay, RN, MS
making the call to begin with would            phone conversation has really made me             8) Answer all your calls back within                         Colleen Folsch
probably make almost anyone feel               more aware of my personal health one business day.                                                        Virginia Gillispie, RN, ND
uncomfortable.                                 information and how it is being used. I           9) Always ask the caller if it's all                          Vickie Jenkins
     Let me share an incident with you         now catch myself watching how others right to put him/her on hold when                                       Sherry L. Ray, CPCC
that will make you think twice to what         handle the front office in a medical practice answering the phone, and don't leave              Linda Mundorff(Rener), RN, MPH, MSN, NDc
                                                                                                                                                          Carol Shenold, RN, CIC
could be happening on the other end of         and on the phone.                             people on hold. Provide callers on hold
                                                                                                                                                           Elizabeth Sowdal, RN
the phone. I made a call to a local hospital        Just the other day, I was sitting in a with progress reports every 30 to 45                        Deresa Claybrook, MS, RHIT
to schedule a test. The person that            physician’s waiting room and I overheard seconds.                                                            Licia McCurdy, LPN
answered the phone did not acknowledge         a full conversation about a man and his           10) Don't use a speaker phone unless
herself or her department and then asked       medical condition. What has happened to absolutely necessary.                                               Angela Lash, RN, CM
me what I needed. I told her that I wanted     the Health Insurance Portability                  11. Finish all conversations internally
to make an appointment. After she              Accountability Act? I stumbled across an before answering the next call.                      Opinions expressed in columns and letters
requested it, I gave her both my name          article with the title, Communicating to          12. Be aware of how personal health         to the editor are not necessarily the
and social security number.                    Patients about HIPAA Privacy: Have We information is being used and who might                 opinions of employees, ownership of this
     While talking to me on the phone,         Achieved Compliance or Complacency? That be within ear shot. It is okay to close              newspaper or the publishing company.
she was continuously speaking with             article really struck home. So, here are the glass door at the receptionist area.
Page 6                                                                       September 17, 2007                                                         Denver’s Nursing Star
                                                                                             money or a home.                           investigation as appropriate. For more
A Decision About Power                                                                           Any individual who commits a
                                                                                             Class 5 felony can be subject to a
                                                                                                                                        information, call 303-333-3482.

                                                  to report their actions to the court or    minimum of one year in jail and a
Legislative News                                  any other regulatory body, allowing        $1000 fine to a maximum of three years
Commentary by Eileen Doherty, M.S.                for the opportunity for abuse.             in jail and a $100,000 fine.
                                                       Some at-risk individuals who give         Individuals who commit a Class 3
                                                  an agent a durable power of attorney       felony can be subject to a minimum of          Eileen Doherty, MS is the Executive
                                                  find themselves the subject of abuse.      four years in jail and a $2000 fine to a   Director of Senior Answers and Services
                                                  The agent may use the available funds      maximum of twelve years in jail and a      and the Colorado Gerontological Society,
                                                  and property for his or her own benefit.   $750,000 dollar fine.                      3006 East Colfax, Denver CO 80206. She
                           Everyday older         Oftentimes bankers, family members,            Individuals who suspect an agent       has more than 30 years of experience in
                           adults are asked       neighbors and other professionals who      (power of attorney) of committing a        education and training, clinical practice,
                           or make a              work with at-risk individuals report       theft against an at-risk child or adult    research, and public policy in gerontology.
                           decision to give       that funds are not being used by the       are encouraged to report it to the local   You may reach her at 303-333-3482 or
                           someone they           agent for the benefit of the at-risk       police who will conduct an       
                           trust a “power         individual, but rather for the benefit
                           of attorney”. A        of the agent.
Eileen Doher ty, MS        power            of         As of July 1, 2007, the Colorado
Executi Director
Ex ecuti v e Dir ector of a t t o r n e y f o r
Senior Ans w er s and f i n a n c i a l
                                                  State Legislature created a new
                                                  classification of theft for agents who
                                                                                                FDA approves Evista to
Ser vices and the purposes allows                 steal from an at-risk individual, be it
Colorado Gerontolo
Color ado Gerontological the agent or the
                                                  a child or an adult. The new law is
                                                  meant to offer more protections to at-
                                                                                              reduce evasive breast cancer
                           individual to          risk individuals whose agents “take the          The U.S. Food and Drug Administration today approved Evista (raloxifene
make decisions and/or to follow the               money or property for their own             hydrochloride) for reducing the risk of invasive breast cancer in
instructions given by the individual.             benefit.”                                   postmenopausal women with osteoporosis and in postmenopausal women
     A power of attorney is a legal                    The law is very specific in that if    at high risk for invasive breast cancer.
document which allows an individual               an agent “uses, disposes, or takes title         Evista is only the second drug approved to reduce the risk of breast
to name an agent to act on his or her             to, or other assumes control of a thing     cancer. Evista is commonly referred to as a selective estrogen receptor
behalf. Many individuals give the agent           of value” when acting in a position of      modulator (SERM). In reducing the risk of invasive breast cancer, SERMs
a “durable power of attorney,” which              trust, whether or not in the presence       may act by blocking estrogen receptors in the breast.
enables an agent to continue to act on            of the victim, the agent commits a               “Today’s action provides an important new option for women at
the individual’s behalf even if the               Class 5 felony if the value is less than    heightened risk of breast cancer,” said Steven Galson, M.D., M.P.H., director,
individual is incapacitated and cannot            $500 or a Class 3 felony if the value is    FDA’s Center for Drug Evaluation and Research.
give directions.                                  more than $500.                                  “Because Evista can cause serious side effects, the benefits and risks of
     A power of attorney is a legal tool               Current law provides that theft        taking Evista should be carefully evaluated for each individual woman.
that can be used to open and close                from an at-risk adult or juvenile by        Women should talk with their health care provider about whether the
bank accounts, to sell real estate, to            means other than the use of force,          drug is right for them.”
pay bills and other obligations, to               threat, or intimidation is a Class 4             On July 24, 2007, FDA’s Oncology Drugs Advisory Committee
purchase and/or sell stocks and bonds,            felony without regard to the value of       recommended approval of Evista for reducing the risk of invasive breast
and conduct the financial affairs of              the item taken.                             cancer in postmenopausal women with osteoporosis and in women at high
the at-risk individual.                                Under Colorado law a person            risk for breast cancer.
     Most agents who are entrusted with           commits theft when he or she                     In 1997, FDA approved Evista for the prevention of osteoporosis in
a power of attorney spend the funds               knowingly obtains or exercises control      postmenopausal women and, in 1999, for the treatment of postmenopausal
for the benefit of the at-risk individual.        over anything of value of another           women with osteoporosis. Breast cancer is the second leading cause of
As with all situations, most agents               without authorization, or by threat or      cancer death in American women and accounts for 26 percent of all
follow the wishes of the older adult              deception.                                  cancers among women.
and exercise great caution in carrying                 For theft to occur, the agent must          An estimated 178,480 new cases of invasive breast cancer are expected
out their fiduciary responsibilities.             intentionally or knowingly take             to occur among women in the United States during 2007. Invasive breast
     At present, an agent acting on a             something from an at-risk individual        cancer develops when abnormal cells spread into the surrounding breast
power of attorney is not supervised.              with the intent to deprive the at-risk      tissue.
Furthermore, agents are not required              individual of the property, such as              Three clinical trials in 15,234 postmenopausal women comparing Evista
                                                                                              to placebo (no drug) demonstrated that Evista reduces the risk of invasive
                                                                                              breast cancer by 44 to 71 percent. A fourth clinical trial in 19,747
                              Write for DNS                                                   postmenopausal women at high risk for developing breast cancer compared
                                                                                              Evista to tamoxifen.
      Denver’s Nursing Star is designed to share news and information between                      In this trial, the risk of developing invasive breast cancer was similar
 nursing and healthcare professionals. Experiences and items of personal growth               for the two treatments. The clinical trials were conducted over the last 10
 are very important features                                                                  years.
      This publication seeks writing submissions from RNs and LPNs, as well as
 other professionals on informative and timely topics. Personal experiences are                    Evista can cause serious side effects including blood clots in the legs
 preferred with an emphasis on useful information that will instruct readers or               and lungs, and death due to stroke. Women with current or prior blood
 may be used in their practices.                                                              clots in the legs, lungs, or eyes should not take Evista. Other potential side
 Please follow these guidelines when submitting stories:                                      effects include hot flashes, leg cramps, swelling of the legs and feet, flu-
 • Submissions must be no more than two to three pages long, typewritten, double-             like symptoms, joint pain, and sweating.
 spaced on 8.5 by 11 inch paper.                                                                   Evista should not be taken by premenopausal women and women who
 • When possible, please submit a photograph of the author and/or photograph                  are or may become pregnant because it may cause harm to the unborn
 representing the event.                                                                      baby. In addition, Evista should not be taken with cholestyramine (a drug
 • Please include name, address and telephone number (work and home), fax                     used to lower cholesterol levels) or estrogens. The benefits and risks of
 number, and email address, when possible.                                                    taking Evista should be carefully weighed in each individual woman.
 • An honorarium of $25 may be paid upon publication.                                              Evista does not completely prevent breast cancer. Breast examinations
 • All material will be reviewed by the editor of Denver’s Nursing Star and may be
 edited for clarity or length.                                                                and mammograms should be done before starting Evista and regularly
 • Submit material to the attention of the Editor, Denver’s Nursing Star, via fax to          thereafter. The product is manufactured by Eli Lilly and Company,
 720-283-2198 or by email                                         Indianapolis, Ind. For more information, visit:
      For answers to questions regarding submissions, please call 720-283-2209.               breastcancer.
Case Manager
If you’re a registered nurse
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To be considered, you must
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