October 2010 Breast reconstruction may improve self-image Few women can prepare strives to rebuild the procedure where we themselves for the breast so it is about the replace the breast tis- signigicant emotional same size and shape as it sue with a saline or challenges that occur was before the silicone implant,” Dr. after losing one or both mastectomy or Pitcher explained. breasts due to breast lumpectomy. The nipple He notes that while cancer. Fortunately, and the darker area implants fell out of studies show that breast surrounding the nipple favor several years reconstruction after (areola) can also be ago, they were re- cancer surgery can go a surgically reconstructed. approved by the long way toward “Reconstruction can FDA in 2006 and improving self-image. happen at the time of have since had an Dr. Jeffrey Pitcher mastectomy or at a later excellent track recently joined Trinity date,” Dr. Pitcher stated. record. Health as a plastic and “It used to be that “We emphasize that because their first chief resident from reconstructive surgeon. patients would have a a reconstructed breast concern naturally is their 2007-2008. His residen- Although he provides mastectomy, let things can never be the same as long-term health. But as cy in Plastic Surgery was the full range of cosmetic settle down and then a natural breast, but our we’ve come to better conducted at Washington and reconstructive return for breast goal is to achieve a result understand the University School of procedures, he lists reconstruction at a later that feels similar to the emotional aspects of Medicine, where he also among his specialties date. Now we can do way it did before and dealing with breast served as chief resident. breast reconstruction an immediate reconstruc- enables a woman to look cancer we’ve found that His clinical interests, in after cancer surgery. tion while the patient is like she wants to in breast reconstruction can addition to breast recon- still asleep.” “We did a lot of breast clothes,” he said. play an important role in struction, also include reconstruction at the Approaches generally fall restoring emotional well- body contouring surgery center where I trained,” into the following Dr. Pitcher describes breast reconstruction as being,” Dr. Pitcher added. and nerve repair. he said. “You develop a categories: Autologous passion for helping (the patient’s own tis- an important decision His office is located at survivors restore what sues), implant-based or a that should be made by a About Dr. Pitcher Health Center-South has been taken away by combination of the two. woman with accurate Ridge, 1500 24th Avenue information as early in A graduate of MCP the disease.” SW. For more informa- “With autologous her treatment process as Hahnemann University tion or appointments, Breast reconstruction reconstruction we take a possible in consultation School of Medicine in call 857-5662. surgery seeks to restore section of a woman’s with her surgeon, Philadelphia, Dr. Pitcher breast appearance for own tissue from her oncologist and plastic completed his General women who have had all abdomen, back or other surgeon. Surgery residency at the or part of their breast(s) area and move it to the Indiana University removed to treat breast chest area. Or we can do “Too often women aren’t School of Medicine, cancer. A plastic surgeon an implant-based aware of their options where he served as Report to the community: Why the Foundation raises philanthropic funds The Trinity Health Foundation through disbursements to the • Trinity Homes – new audio • Kidney Dialysis Unit – com- received nearly $700,000 in many healthcare programs and and video system for residents fortable recliners for patients gifts during fiscal year 2010, services at Trinity Hospitals, through a gift from the Trinity in treatment which ended June 30. Trinity Homes and other Trinity Health Auxiliary • Lobby Furniture Fund – facilities. This was achieved through the • Trauma Center – equipment remodeled lobby at Trinity generosity of individuals giving These disbursements include to help treat victims of sexual Hospital – St. Joseph’s, a gen- memorials, contributions, grant the following: assualt erous gift of Trinity Health funding, and awards from other Auxiliary • Nursing Education organizations. Scholarships – 63 • Staff Development – nursing “There are no words that can scholarships awarded to leadership education event say how appreciative Trinity university students • Kenmare Community Health is of the giving people in enrolled as juniors or Hospital – exercise equipment the region. Every dollar received seniors in the nursing for patients makes a difference in the program healthcare programs and • Kenmare Community • Hospice & Home services at Trinity Health,” Hospital – telepharmacy Health Fund – stated Amy Moen, Director of equipment to better serve the informational patient Trinity Health Foundation. community brochures & staff This money is wisely invested education development continued on page 2 Midwifery: Combating Breast Pharmacists: Vital Role in 6 Complete Women’s 8 Cancer Patient Safety Health 2 3 4 7 Group Physical Partnership Healthy Personal Therapy with the Halloween Training Month 5 Schools Habits 2 • OCTOBER 2010 TRINITY HEALTH HEALTHTALK Group Personal Training: A good fit for you? Do you feel like you are “The vast majority of increased motivation receive individual you to reach your goal.” just going through the health club members are provided by exercise attention from a Trinity Judd added that by motions with your in need of an exercise companions also makes Exercise Physiologist and having camaraderie exercise routine? Are designed program and/or this form of training an walk away with a fitness among the group, the you interested in routine to do on your exercise physiology team personal training, but own. hopes to keep more don't have the time or Some advantages/bene- people in the gym than the money? fits of group personal just having people work- Then Trinity Exercise training include: ing out on their own. Physiology’s Group - Low costs shared “People may feel uncom- Personal Training is among your group fortable working out on for you. their own, but by having - Flexibility to participate It is our goal to a friend or two, they can in a group session maximize your time at hopefully feel more at (either Mondays, the gym with a ease and achieve their Wednesdays and professionally designed fitness goals together,” Fridays or Tuesdays and and individualized Judd said. Thursdays) training program. Individual rates for the - Accountability & “Group training gives us group sessions are $13 Motivation the opportunity to offer per hour with a Minot an effective program - Just some plain Family Y membership. toward your goals with camaraderie & fun! For more information, motivation and account- “In terms of motivation, call Norm Judd, ability, yet cost effective,” knowing there are three 857-3030 or Russell said Norm Judd, MS, guidance as well as the attractive alternative to other people there work- Gust, 857-5626. CSCS, Trinity Exercise accountability offered by the “one-on-one” option ing out hard with you, Physiologist. having a personal that is also available.” will motivate you to Judd said that most trainer,” Judd said. “The The classes, limited to work harder,” said Judd people are great candi- opportunity for most four to six people, allow “Also having a support dates for group training. people to have the each participant to group in place will help South Ridge: Old facility gets facelift A facility that providers,” he surgery suites the facility Trinity shut said. “We’ll had its limitations. In the doors on a redesign the two 2008, after Trinity com- couple of years surgery suites in pleted a four-suite Same ago is back in the center sec- Day Surgery Center at service – a tion for more Trinity Hospital – St. result of providers.” Joseph’s, procedures increased held at Centennial were physician Centennial moved. Until now, recruitment Medical Center that is. success and a was founded in the 1980s by a “Around 60 providers committment have joined us in the last to increase group of Minot By mid-month he was President Thomas two years,” Warsocki access for patients. physicians as a clinic and joined by the Pain Warsocki said. noted. “They are excited Health Center-South outpatient surgery center. Management Center’s to share in our vision; Ridge, formerly Health Facilities Management It was renamed Health Manual Colón, MD, and they like where we’re Center-Centennial, has Director Dave Kohlman Center-Centennial after Jerane Forsberg, PA-C. headed and want to be been reopened with a said the west side of the Trinity acquired the facil- “With our strategy to building’s interior was ity in the 1990s. For sev- partners in that vision.” new name and a new look. strengthen our provider remodeled to accommo- eral years the building For help in selecting a network, we needed to date Plastic Surgery and was Trinity Regional physician, patients may Dr. Jeffrey Pitcher, expand our clinic space the Pain Center. “We’re Eyecare’s chief site for call Trinity Health’s Trinity’s new plastic and determined a remod- now in the process of outpatient cataract and physician referral line at surgeon, was the first to eled South Ridge would renovating the east side Lasik surgery procedures. 857-DR4U, (857-3748). move in early August. be a great facility,” Vice for several primary care But with only two Trinity Health’s Speaker’s Bureau Call Trinity Health Community Education at 857-5099 to check for available dates and topics. Foundation continued from page 1 • PRIDE (employee giving – Portable ultrasound machine • Physical Therapy – mobile program) for the Anesthesia PCs for therapists – 36 employee hardship Department • Neonatal Intensive Care checks – Enhancement modules for Unit – neonatal heart probe – CancerCare Center wall the Patient Communication • Equipment – Facilities decorations System – Trinity Hospital Management and – Kenmare Community • Cancer Treatment Assistance – Housekeeping equipment Hospital and Trinity 55 patients received grants for • Laboratory Fund – education Homes staff development travel assistance while under- for lab staff and training going treatment • Vision of Hope – patient – Patient education • Cancer Exercise Rehab – low-vision equipment software at Trinity Regional 56 cancer patients participat- Eyecare ed in exercise rehab program • Keller Radiology Fund – student recognition program – Wii console & games for – Medication cart for • CancerCare Center – chemo CDU & Mental Health Kenmare Community patient recliners If you are interested in patients Hospital contributing to the healthcare • Compassionate Friends – programs and services at Trinity – Endoscope for Surgery – Two wheelchairs for support program expenses Health, please contact the Department RehabCare • FAST Program – items for Foundation office at 857-5432. – Fluid warmer for Surgery – Patient dialysis pillows for Families And Schools Together Department Kidney Dialysis Unit program Marketing Department Trinity Hospital – St. Joseph’s Visit Our Website: HealthTalk 407 3rd Street SE Minot, ND 58701 www.trinityhealth.org Toll free in ND: 1-800-247-1316 HEALTHTALK TRINITY HEALTH 3 • OCTOBER 2010 Up front & personal about breast cancer Breast cancer is the most is at high risk and Q: How much do diet tomized approach to to their health care common cancer among should start getting and exercise affect each patient. Surgical providers. Breast self- women in the United mammograms at age my chance of getting options include a exam (BSE) is an States, other than skin 30, or perhaps even breast cancer? “lumpectomy” (breast option for women cancer. It is the second younger depending on conserving surgery), starting in their 20s. A: A diet low in fat leading cause of cancer individual circum- modified (limited or (about 20 percent of Women at very high death in women, after stances. However the partial) mastectomy or total calories, with min- risk (greater than 20 lung cancer. majority of patients complete mastectomy. imal saturated fat), percent lifetime risk with newly diagnosed Frequently radiation The American Cancer high in vegetables calculated in our mam- breast cancer do not therapy is recommend- Society states that about (especially cruciferous, mography department) have a strong family ed. Chemotherapy 207,900 women in the such as broccoli, should get an MRI and history. If you’re not alone or in combina- United States will be cauliflower, brussels a mammogram every at increased risk, begin tion with hormonal found to have invasive sprouts and other leafy year. Women at moder- at 40. therapy or radiation breast cancer in 2010 green vegetables), and ately increased risk (15 therapy may be offered and that about 39,840 Q: What are other risk whole grains, with some to 20 percent lifetime as well. Almost women will die from factors for developing fruit has been found to risk) should talk with always, any given their disease this year. breast cancer? help protect against their doctors about the treatment plan will be Right now there are cancer. Regular moder- benefits and limitations A: Age. The risk of breast comprised of a combi- about 2.5 million breast ate exercise has also of adding MRI screen- cancer increases as a nation of any of the cancer survivors in the been shown to help pre- ing to their yearly woman gets older. above options and will United States. vent cancer and reduce mammogram. Yearly About 77 percent of be tailored to each the incidence of cancer MRI screening is not There isn’t a sure way to breast cancers occur in patient’s needs. recurrence. recommended for prevent breast cancer, women age 50 and women whose lifetime but there are things all older. Q: What is the three- Q: What are the risk of breast cancer is women can do that step approach for American Cancer less than 15 percent. might reduce their risk Personal History. early detection? Society Guidelines and help increase the Women who have had for optimal breast Q. Where can I go for A: There is a 97 percent, odds that if cancer does breast cancer may health in normal risk my Mammogram? five-year survival rate occur, it can be found at develop it again. women? when breast cancer is A. Either the Breast an early, more treatable Women with a history A: Yearly mammograms detected in its earliest Imaging Center at stage. of breast disease (not are recommended stages. The three-step Health Center – The following are some cancer but a condition approach—self-exami- starting at age 40 and Medical Arts questions and answers to that may predispose nation, yearly physi- continuing for as long (857-2640) or our con- help you navigate them to cancer) and cian’s examination and as a woman is in good venient Digital Mobile through the aspects of women having more regular mammography health. Mammography Service breast cancer. dense breast tissue on a screening—has proven (surrounding communi- previous mammogram Clinical breast exam to be the most effective ties) offer digital Q: How do I know if I’m (making interpretation (CBE) should be part way to find breast mammography. Toll at high risk for devel- more difficult), are also of a periodic health cancer early. Free 1-800-862-0005. oping breast cancer? at risk. exam, about every 3 Q: What are some years for women in We are here to help in A: Anyone with an imme- Other Risk Factors. treatments for breast their 20s and 30s and your fight against breast diate family member Other risk factors cancer? every year for women cancer. who was diagnosed include having your 40 and over. with breast cancer A: Treatment is individu- before the age of first child after age 30 alized since every Women should know menopause or with or never having patient is unique and how their breasts nor- multiple relatives suf- children, obesity or Trinity’s CancerCare mally feel and report fering from the disease regular alcohol use. Team develops a cus- any changes promptly Combating breast cancer with the latest technologies ancers Biopsied New Breast Ca Trinity Health continues cer by as much as 35 at Trinit Health* ty h cancer is to combat breast cancer percent in women present; if a using the latest technolo- over the age of 50 cystic lesion gy and equipment. and in women is present Age between 40 and 50, then usually These various breast 0 <40 by as much as 25–35 there is no imaging services include percent. 40 49 further digital mammography, 50 59 evaluation.” breast ultrasound, galac- “Digital mammogra- tography (ductogram) phy is the gold stan- 60 69 Ultrasound and breast MRI. dard in detecting 70 79 uses high-fre- breast cancer, and it’s quency sound + 80+ the way of the waves that Digital mammography future,” Busch said. are transmit- "We've been using *July 1, 2009-June 30, 2010 ted through From July 1, 2008, to digital mammography breast tissue June 30, 2009, more here at Trinity for from a than 8,600 women more than four and a them,” Busch explained. Since digital mammogra- hand-held probe called a received mammograms half years.” “Although breast phy uses a computer transducer. These sound through breast imaging calcifications are usually system to record and waves bounce off breast services offered by Digital mammography noncancerous (benign), store breast images in a tissues creating "echoes" Trinity Health. From uses special equipment certain patterns of database, these images which are then recorded these screenings, approxi- and computer technology calcifications — such as may be transmitted by a computer generating mately 10.8 percent to capture and save electronically between tight clusters with an image of the breast were recalled for addi- images of the breast(s) appropriately linked irregular shapes — may tissue which is then tional views to clarify electronically. This gives providers. indicate breast cancer.” displayed on a monitor. questionable abnormali- radiologists the ability to No radiation is used, and ties. From these 172 enhance these images in Trinity’s digital system Breast ultrasound very little pressure is biopsies were performed order to look for tiny also provides optimal use required. with 75 cases being posi- abnormalities. Digital of computer-assisted If a patient has an tive for newly diagnosed mammography is detection (CAD), or abnormal screening According to Busch, breast cancer. particularly well suited what is known as mammogram, then addi- patients question why to reveal smaller, “Second Look” capability. tional imaging evaluation they just can’t just have According to Connie suspicious abnormalities an ultrasound as it’s With this feature, the with detailed diagnostic Busch, coordinator of due to the detailed easier to tolerate without computer detects any mammograms or ultra- Trinity Health’s breast images it provides. compression to the “areas of concern” and sound may be necessary. imaging services, mam- breast instead of having mograms don't prevent “Digital technology is marks them on the "Breast ultrasound is an annual mammogram. breast cancer, but they excellent at seeing tiny mammogram for the useful to determine if a can save lives by finding calcifications (calcium radiologist to review. mass is solid or cystic “An ultrasound is not as breast cancer as early as deposits within breast This capability is already (filled with fluid),” she good at seeing very small possible. Studies have tissue). They appear as built into the system, explained. “If a solid lesions or microcalcifica- shown that mammo- white spots or flecks on a thus eliminating the need lesion is present then a tions, which can only be grams may lower the mammogram and are so to scan the mammogram biopsy may be per- death rate of breast can- small that you can't feel images into a computer. formed to determine if continued on page 4 4 • OCTOBER 2010 TRINITY HEALTH HEALTHTALK Physical therapy brings motion to life October is “I think National some of the “Smart Moves” for families Physical Therapy growth can • Plan weekend family activities involving physical Month, and this be attributed activity, such as hiking, swimming, bicycling, year’s theme of to the influx mini-golf, tennis, or bowling. “Move Forward” of people to • Have your kids brainstorm a “rainy day” game plan has been the region, of indoor activities such as fitness games like Wii designed to pro- but we also Fit or Dance Dance Revolution. mote healthier continue to living habits and have an • Remember that your family does not need to join a promotion of aging health club or buy fancy equipment to be active. being more population Weights can be made from soda or detergent active and that tends to bottles filled with sand or water! mobile. more • Provide positive feedback about your child's frequently lifestyle changes. Remember not to focus on the Physical thera- need our scale (for you or your child). pists are a pri- services to mary resource for New to Trinity’s physical therapy staff are top: • Be your child's "exercise buddy." Plan daily walks or promotion of Joshua Dinius, PT, DPT, and Aundrea Riehl, PT, help them bike rides and set goals together for increasing DPT; bottom (left to right): Laura Mann, PTA, with their physical activity rather than for losing weight. It’s healthier living and Christina Sorenson, PTA. mobility also great “bonding” time! habits that needs.” specifically deal therapists and seven • Encourage children to try individualized sports with increasing mobility. physical therapy Rexin said that it is not such as tennis and swimming. Studies show such assistants to provide uncommon for their activities are the basis of lifelong fitness habits. Whether it is getting more mobility in a physical therapy services department to see • Parents and children can do exercises while watch- to patients/clients in patients 65 and older ing television (or at least during commercials), such shoulder after surgery, settings that include the that are still farming that as sit-ups, push-ups or running in place. Discourage improving safety of acute care hospital, need help with shoulder snacking or eating meals while watching. movement at work or rehabilitation hospital, mobility, neck or back improving ease of Source: American Physical Therapy Association pain, so they can contin- movement when dealing outpatient therapy, home health agencies, area ue doing what they want work duties on the job “We attribute a lot of our with arthritis or other schools, work settings, to be doing. and new employees must growth to the growing conditions, a physical therapist is your aquatic therapy at the “Whatever the patient’s pass a screening population and changing healthcare professional of Minot Family Y and goals are, whether it is assessment performed by demographics and choice. nursing homes. running the tractor or a physical therapist prior attitudes in our region. swinging a golf club, it is to starting work. This “We work to improve Physical therapists can Increased needs of the important to us to help helps the employer and our services through help patients move region them achieve that goal,” the employee to avoid continuing education of forward by providing added Rexin. putting people in our staff, measurement of care to patients of all You may see a physical situations where they or patient satisfaction, ages (from newborns to therapist helping a The oil construction, and others could get hurt. partnering with our elderly) to help improve patient learn to walk in other business activity in Testing is based on the physicians and doing mobility, reduce pain, the hospital after a major the region has resulted essential functions of the everything we can to decrease risk factors and surgery or the physical in a need for physical job with some tests maintain access and prevent injury. Because therapist may be therapists to not only provide optimal physical therapists assessing a new employee treat work injuries but requiring employees to customer service.” receive specialized for the ability to work on also to perform pre- lift 100-200 pounds. education in a variety of a drilling rig within the employment/post-offer Physical Therapy services Rexin said that the sciences – physics, oil field. screenings for new may be covered by your demand for Trinity’s human anatomy, kinesiol- insurance depending “We have actually seen a employees. In fact, physical therapy services ogy (human movement), upon your plan. high volume of growth in Trinity has seen 10 times has steadily increased to name a few– they the volume of post-offer For more information the hospital and in the over the past several understand how the screenings in the past about the services Trinity outpatient department,” years, as people realize body works and how to Physical Therapy offers, stated Mike Rexin, PT, five years. Many how physical therapy get you moving again. call 857-5286. DPT, Coordinator of companies want to make would benefit them in Trinity Health currently Trinity’s Physical sure their new hires are returning to an active employs 17 physical Therapy Department. capable to safely perform lifestyle. Breast imaging technologies continued from page 3 seen with a mammo- ize the duct, now high- changes that may through the patient’s gram,” she explained. lighted with contrast to indicate breast cancer. physician office since, demonstrate these small, unlike screening yearly Breast MRI helps but problematic tumors. mammograms, a doctor’s radiologists better identi- Galactography This test can lead a order is required before a fy and characterize breast (Ductogram) surgeon to the correct breast MRI can be diseases – particularly This mammographic area to remove the lesion performed. cancer – in women with examination is common- in question. certain risk factors. ly called a ductogram since it is done only for “This includes women Breast MRI with a genetic predispo- further evaluation of a nipple discharge. Tumors Breast MRI is the most sition to developing usually begin in the recent addition to breast cancer, or those ducts, and may cause a Trinity’s diagnostic with a strong family nipple discharge as these arsenal in the fight history such as multiple ducts lead down to the against breast cancer, and primary relatives with nipple. These tumors are women at high risk of breast cancer,” explained usually not seen well developing breast cancer Dr. Kenneth Keller a with regular mammogra- and others already radiologist and Medical phy or ultrasound. diagnosed with the dis- Co-Director of Trinity’s ease particularly benefit Radiology Department. After appropriate cleans- from this new service. “It also includes women ing, a radiologist inserts a with a newly diagnosed small blunt tipped needle Magnetic resonance breast cancer, where a into the nipple, directly imaging (MRI) technolo- breast MRI would be into the discharging duct. gy is a noninvasive test used to determine Although this sounds like that uses a powerful whether there are multi- Imaging services at Trinity Health it would hurt, almost all magnetic field, radio ple areas of cancer in the are performed by an excellent team of women feel little or no waves and a computer to same breast or whether radiologists with expertise training and pain at all, since the duct produce images of inter- there is any sign of specialization experience. is usually dilated slightly nal body structures. It is cancer in the other by the discharge and eas- similar to a CT (comput- For more information about Trinity’s breast. The presence of ily accepts the needle ed tomography) scan but breast imaging or other imaging services, either would drastically without difficulty. A uses no radiation. MRI call 857-5220. affect how the patient small amount of x-ray of the breast provides a would be treated.” contrast (dye) is then detailed depiction of injected followed by breast tissue, including Scheduling of breast MRI mammograms to visual- evaluation of blood flow examinations is done HEALTHTALK TRINITY HEALTH 5 • OCTOBER 2010 Pharmacists highlight vital role in improving patient safety National pharmacist every day. This technologies, many million doses of organizations have fact of which have been medication every year. adopted (the month of highlights the incorporated to The Trinity CancerCare October as National importance of enhance the Center also has a satellite Pharmacy Week), which having a medication pharmacy on site. The runs October 17-23. pharmacist management pharmacists and intimately process. Pharmacists at Trinity pharmacy technicians at involved in Health will use National “As technology Trinity CancerCare are patient care. Hospital & Health continues to dedicated to serving System Pharmacy Week Pharmacists are patients and to underscore the many experts on the families new and vital roles they thousands of receiving can- now play in patient care. medications cer treatments. Trinity Health’s dedication to imple- available The evolution of ment technology and utilize The pharmacy today—how pharmacy has been pharmacy technicians has allowed department each one works especially dramatic in pharmacists, such as Michael provides many in the body recent years as pharma- Peterson, PharmD, to move to more services and the ways cists have moved beyond patient-care areas to assist physi- than just to use each compounding and dis- cians, nurses, patients and families dispensing one safely and pensing medications to regarding medications. medications. effectively. become vital members of Trinity multidisciplinary patient- pharmacists included the Health’s “Many consumers are not choice of two entry-level care teams. aware that pharmacists dedication to degrees: a five-year implement “National Pharmacy play a critical role in Bachelor of Science in preventing medication technology Week is not new,” pharmacy (RPh, BS in Pharmacy technicians including errors, advising and optimize explained Jerry Hansen, Pharmacy) or a six-year Karlee Langley, play a vital role in prescribers on the best pharmacy RPh. “The American Doctor of Pharmacy hospital pharmacy services and drug choices, and technicians has Pharmacists Association (PharmD). As of 2000, greatly augment the pharmacist’s working directly with allowed first created the obser- most schools began ability to focus on direct patient care. pharmacists to vance in 1925 as a way patients to ensure they offering only the understand how to use move to to promote the value of PharmD degree. This evolve, patients will their medications safely patient-care areas to pharmacy services.” extensive training places continue to have greater and effectively,” added assist physicians, nurses, The American Society of the pharmacist among opportunities to have a Carolyn Reynolds, patients and families Health-System the most knowledgeable pharmacist involved in PharmD; Pharmacy regarding medications. Pharmacists endorses health care professionals their care,” stated Laura Services Director. Some of the many National Pharmacy Week when it comes to Olson-Sinn, RPh; “Pharmacy Week is a services pharmacists as an opportunity to medicines and their use. Informatics Pharmacist. great way to educate the provide include making highlight the vital role Many pharma- sure the medica- public about how phar- cists practicing pharmacists play in tions prescribed are macists can help them in hospitals and everyday health care dosed correctly, get the most benefit health systems noting that more than ensuringpatients are from their medicine.” also complete 50 percent of adults in educated about the United States take Historically, educational post-graduate their medications, two or more medications requirements for residency “rounding” with programs. physicians to assist Pharmacists them in making Director of Pharmacy Services advise doctors medication named and nurses on decisions, perform- the best ing highly complex Trinity Health medications, medication announced that monitor every calculations and Carolyn Reynolds patient’s medi- converting patients has been chosen to cation therapy from medications lead its Pharmacy and provide Jerry Hansen, RPh, processes a prescrip- given by vein to Services Department. quality checks tion for a patient at Trinity Hospital. The medications that Reynolds had to detect and inpatient pharmacy processes more than can be taken by served as the prevent one million doses of medication every year. mouth. All of these Interim Director harmful drug activities, and many since April, and interactions, others, optimize the was actively reactions, or mistakes. safe, effective and quality The Trinity Health engaged in a care provided to each Hospital and health sys- Inpatient Pharmacy recent Pharmacy patient. tem pharmacists have Department is located on Operations been able to take on the second floor of In conjunction with Assessment con- Trinity Hospital near the administration, the enhanced patient-care ducted by VHA. cafeteria. The pharmacy medical and nursing staff roles due to deployment The VHA consul- is open 24 hours, seven and all other depart- of highly trained, certi- tants were very fied technicians and new days a week, 365 days ments at Trinity Health, complimentary technologies that allow per year and provides the Pharmacy’s goal is to about her partici- Carolyn Reynolds pation and leader- for safe and efficient dis- services primarily to provide the best service pensing of medications. inpatients of Trinity possible to every ship during that In return, pharmacy Hospitals but also local customer. Because of review. According to Reynolds, she is excited to participate in “reinventing” Trinity and Pharmacy technicians play a vital and regional clinics, you, the dedicated staff Services. Mr. John M. Kutch, Trinity Health CEO, role in hospital pharmacy Trinity Dialysis Unit, and works hard every day to noted, “Carolyn Reynolds has provided leadership services and greatly aug- outpatients of the Trinity “reinvent” pharmacy in that department and its many activities within ment the pharmacist’s Emergency Department services at Trinity Health. the organization. We are pleased when we have the ability to focus on direct after hours when retail ability to promote from within!” patient care. Trinity stores are closed. The Health has committed to inpatient pharmacy pro- integrate cutting-edge cesses more than one Pilots Receive Safety Awards Trinity Health‘s NorthStar Criticair, the region’s emergency helicopter service, and Executive Air Taxi Corporation in Bismarck announced a special milestone achieved by long-time NorthStar Criticair pilots Greg Kurtz and Dennis Simenson. Both men were recently cited by the Helicopter Association International (HAI) with their prestigious Pilot Safety Award for eclipsing more than 5,000 hours of accident-free helicopter flight time. NorthStar Criticair is an extension of Trinity Health’s mission to improve the health of the communities within its service area. Collaborating with Executive Air Taxi Corp., NorthStar Dennis Simenson Greg Kurtz Criticair provides emergency air response and extends critical care throughout the region 24/7 with a flight crew, paramedics and other specialists depending on the mission requirements. NorthStar Criticair boasts a response time of less than 15 minutes from call to flight, and covers an area reaching from Devils Lake to eastern Montana utilizing a Bell 407 aircraft for swift and safe patient transport. Trinity has offered a helicopter ambulance service in the region since 1992. 6 • OCTOBER 2010 TRINITY HEALTH HEALTHTALK Serving the community beyond the walls Trinity Health takes great activity at reality of drugs. almost every school pride in serving the each station,” within 24 miles of the Dr. Sather and whole community – not explained Minot area as well as Zimmerman show only those who come Kathleen university and amateur the students the through our doors. White, athletics. The team even kinds of horrific Community provides medical care To be specific, Trinity injuries that can Education coverage for sporting and its employees are occur in not in some Coordinator events including involved in numerous far-off urban jungle at Trinity “It district/regional tourna- outreach programs in the but right here in our also increases ments, state tourna- Minot Public Schools local area. their comfort ments, Legion Baseball, and surrounding area Pictured is one of the four LED signs level if they The team hopes the the Prairie Rose Games, schools. Trinity Health donated to Minot High ever need to students take away a and other events that We focus on just a few visit Trinity School-Magic City Campus, Minot High message that life- take place within the of the school programs Health for School-Central Campus and Jim Hill and altering, drug-related Magic City. employees are involved medical care, Erik Ramstad Middle schools. injuries aren’t acci- “We take care of every in below. This is the first like a broken dental but the result school in Minot, in a series of articles in bone.” health care delivery of choices that people including the three high future editions where we systems as well as patient make every day. Students enter the health care skills. Medical schools and Minot State highlight those outreach care classroom setting “We really want the stu- University,” Gust said. activities and partner- Careers is a class and are able to experi- dents to understand and “We also take care of ships in education. specifically designed to ence various stations show them the real-life those athletes at Des help students build a such as Finger Casting, impact consequences Lacs-Burlinton, Berthold, solid foundation for EKG, Laboratory, from drinking and driv- Surrey, Velva and Character Counts success in the world of Radiology, Surgery, ing,” Zimmerman added. Glenburn.” Character Counts is a work regardless of Nutrition, Bones and whether the student For more than 12 years, local, grass roots effort of Gust said the staff Calcium and the plans to work in the field Art Haskins, Program concerned citizens in doesn’t have a set rou- Nursery. The stations are of health and medicine. Coordinator for Minot and many tine, as they’re faced usually run by Trinity NorthStar Criticair, has communities nationwide The first semester is with new and different staff and students from also been opening the which embrace the “Six devoted to basic health- challenges each day. the Magic City Campus eyes of students at Pillars of Character” as Health Careers Class. care concepts as well as The most recent pro- Central Campus enrolled the basis for understand- providing the students gram additions to Trinity “Some of the Hands on in drivers’ education ing and evaluating all with their first clinical Sports Medicine’s plan of Health stations have about the impact of ethical behavior. rotation experience. care for athletes have been part of the event making bad choices Monica Peterson, During the second been the development of since it started,” said while driving. Employment Specialist, semester, students con- the FASTER injury White. “Additions or tinue building upon their Haskins’ presentation represents Trinity on the prevention program and changes have been made healthcare knowledge “Tough Talk About Minot Character Counts Heat Illness Prevention at the suggestion of foundation as well as Trauma” illustrates the Coalition. program. teachers or Trinity participate in clinical consequences of risk— “I serve as a liaison Health staff members FASTER stands for rotations based on their taking behaviors from a between Trinity Health over the years.” Flexibility, Agility and individual career inter- medical perspective. and the Character Strength Together Equals White also added that ests. This includes doing Some of these behaviors Counts Program — find- Ready and is offered to the event helps students job shadowing around include speeding, ing ways that we can use area schools during the to calm their fears when Trinity Health from the improper use or lack of our resources to partner summer for the past entering a hospital and OR to the physicians’ seatbelt use and drinking with the coalition in three years. It is find a career in health offices to the daily rou- and driving. Haskins furthering their mission,” designed to prevent care to be positive. tine of a social worker. speaks to these students Peterson explained. “We specific common injuries about his real life meet monthly to plan “I hope the students “Some of our students the athletic trainers are experiences of having to the Character Counts attending Hands on even take jobs at Trinity seeing within the sec- respond to these events for the area such Health realize that not such as in the dietary ondary school athletes accidents and also shares as the Youth Character everything about a department, as CNAs or such as throwing overuse photos from these harsh Awards in January, hospital is scary and that other entry jobs to gain syndromes, ACL injuries, realities. Celebrate Character Day a career in the medical experience and gain posterior shoulder in April and Character field can be fun and exposure to a health care weakness and muscle Ethics Day in May.” interesting,” she added. system,” added Mary Sports Medicine imbalances that may Keller, Medical Careers cause knee, shin or low They are the “Hidden instructor. back pain. Medical Careers Heroes,” those people Hands on Health In addition to job behind the scenes at The Heat Illness For more than 10 years, Open to 11th and 12th shadowing and Hands on local sporting events that Prevention program was Hands on Health has graders at Minot High Health, some of the take place all year in our provided by the Sports been a community out- School Magic City students have been a part region. Their primary job Medicine team to the reach event offered Campus, Medical of Community Health is to help athletes before, area schools in which annually to more than Careers is a career and Fairs that Trinity co- during, and after compe- they provide services. 200 area third and fourth technical elective class sponsors. Some of these tition, especially when This program helps grade students giving that introduces students activities they have minor injuries occur, or coaches to be aware of them an interactive, to the various health helped with include fin- they are asked to evalu- heat illness high risk learning experience in a career opportunities ger casting and other ate an ailing player. situations and modify fun way activities. practices or events Established in 1985, to edu- The ultimate appropriately. It also Trinity’s Sports Medicine cate goal of the helps coaches identify staff provides high-quali- them Medical Careers individuals that may be ty care to athletes of all about Class to provide suffering from a heat ages and abilities. Since health. each student illness and how to its inception, the depart- with the neces- immediately provide Hands ment has continued to sary tools in appropriate care for the on grow, adding personnel, order to choose athlete. Any school Health equipment, and services. a career for interested in information also gives The Sports Medicine which they are on these programs, can students team provides athletic best suited for, contact Sports Medicine a glimpse training coverage to and Trinity at 857-5286. of poten- tial Health is proud Hands on Health is a community outreach event The primary health to be a partner. opened to more than 200 area third and fourth grade job of Trinity careers students giving them an interactive, learning experience. Health’s Sports they may Medicine want to available in the medical Speaking Engagements Department is pursue. field. For more than three to help athletes “Hands on Health gives years, Dr. Jeffrey Sather, before, during, The Medical Careers and after area third and fourth ETC Medical Director, Curriculum is approved competition, graders exposure to dif- and Karen Zimmerman, by the North Dakota especially when ferent services available Assistant ETC Manager, Career and Technical minor injuries at Trinity Health, while have been opening the Education Department. occur or they adding a fun aspect to eyes of Minot High are asked to the various departments Students learn about Central Campus stu- evaluate an by providing a hand-on basic principles of the dents’ eyes to the harsh ailing player. HEALTHTALK TRINITY HEALTH 7 • OCTOBER 2010 Midwifery goes beyond the delivery room National Midwifery obstetricians when a and the CNMs would be High School and the reported a substantially Week, October 3-9, woman requires care happy to assist you in Headstart Program. As lower maternal and celebrates midwifery and beyond their area of scheduling a mammo- for Brooking, the newest infant mortality rate than midwives' commitment expertise. In many cases, gram and follow up as team member, she also for the rest of the to being "With Women, these professions work needed. holds a master’s degree country. The report for a Lifetime." together to provide care in nursing from the concluded that if this to women. Frontier School of type of care was available In the United States, Qualifications of Midwifery and Family to other women in the women's choices once Berg said that the Midwives Nursing. Like Berg and USA thousands of lives were limited to an Midwifery team Flansberg, she is also would be saved, and obstetrician or a knowl- including Wendy According to the involved in the Minot suggested nurse-midwife edgeable family doctor. Flansburg, CNM, and American College of community such as giv- training should be done But in recent years mid- Shawn Brooking, CNM, Nurse-Midwives ing a presentation last in the USA. wives became another month, A Midwife’s alternative for women Mrs. Breckinridge opened guide to Women’s with low-risk, uncompli- the Frontier Graduate Health, part of Trinity’s cated pregnancies. School of Midwifery in Health Healthy U series. 1939 the first nurse-mid- Midwives-attended births wifery and was education have been reported on program in the USA that birth certificate data History of Midwives is still educating since 1975, and the It is unknown exactly nurse-midwives today. American College of when midwifery Furthermore, the Nurse-Midwives cited emerged as a profession Midwifery Program of that certified nurse but it can be assumed Philadelphia University midwives (CNM) and that since women have established the first certified midwives (CM) been birthing children Masters in Midwifery attended 316,811 births Shawn Brooking, certified nurse midwife from Trinity since the emergence of degree in the United in 2007. Health, gave a presentation last month on “Midwifery: the human race, then the States beginning with the However, most Providing Complete Women's Health Care” as part of need for aid during this first class in May 1997. Americans aren't sure Trinity’s Health Community Outreach series Healthy U. challenging life event has Today, according to the what midwives do, how been present just as long. American College of they're trained or if have clinic schedules (ACNM), a certified “The ‘lay midwife’ was Nurse-Midwives they're even available in everyday and help with nurse-midwife (CNM) is your neighbor without (ACNM) there are the local healthcare approximately 30 births an individual educated in any formal education, approximately 11,546 system. each month between the two disciplines of nursing who was just there to CNMs/CMs. CNMs are three of them. and midwifery, who help you with your licensed and have While midwives are well- possesses evidence of birth,” Berg explained. prescriptive authority in What is a Midwife? certification according to known for attending “This may have been a nearly every state. In Midwife, literally, means births, in 2008, the the requirement of the woman whose experi- North Dakota, there are with woman. American College of ACNM. ence or expertise seven certified nurse Midwives are practition- Nurse-Midwives report- “The requirements for stemmed from having midwives (CNMs). ers who specialize in ed that 53.3 percent of certification ensure that given birth herself.” Berg’s, Flansburg’s and normal pregnancy, CNMs/CMs identified nurse-midwifery is According to the Brooking’s offices are childbirth and the reproductive care and standardized, and that Midwifery Institute of located on the 5th Floor postpartum and strive to 33.1 percent indentified candidates meet these Philadelphia University, of Trinity Health help women have a primary care as main requirements,” Berg nurse-midwives were Center – Medical Arts at health pregnancy. While responsibilities in their explained. introduced in the United 400 Burdick Expy E. For the majority of nurse- full-time positions. States in 1925 by Mary All three midwives have more information or to midwives workin “We take care of women Breckinridge for use in make an appointment, hospitals, some nurse- a certificate in Nurse from puberty to the Frontier Nursing call 857-7385. midwives in other areas Midwifery from Frontier menopause dealing with Service (FNS). Mrs. of the country work School of Midwifery and almost everything includ- Breckinridge chose the within the community or Family Nursing located ing adolescence, STIs nurse-midwifery model home. in Hyden, Kentucky. Berg (sexually transmitted used in England and and Flansburg also hold a “We are there for our infections), menstrual Scotland because she master’s degree in nurs- patients throughout their irregularities, annual expected these ing from Case Western pregnancy, and we want exams and much more,” nurse-midwives on Reserve University and them to have a good said Flansburg. “We try horseback to serve the belong to many profes- birthing experience,” to look at the ‘whole health care needs of the sional organizations with- explained Gloria Berg, a person’ and help in any families living in the in the community and CNM at Trinity Health. way we can.” remote hills of eastern state of North Dakota. In Kentucky. This According to Berg, In fact, October is also fact, Berg sits on the combination of nurse and midwives are trained to National Breast Cancer North Dakota Healthy midwife was very recognize certain Awareness month. The Pregnancy Taskforce and successful. situations that are CNMs encourage you to the March of Dimes considered abnormal. have your breast exam Steering Committee, and The Metropolitan Life Some situations are and mammogram if indi- they both give various Insurance Company handled by the midwives cated. A breast exam is presentations at Minot studied the first seven and other are referred to part of an annual exam State University, Minot years of the FNS, and Visit our website at www.trinityhealth.org Coordinator joins cardiopulmonary team Doug Reinertson, RT, take the department Cardiopulmonary Among his goals is the joined Trinity’s Therapy to new heights.” Services Department at development of thera- Services staff in July as Steele Memorial Medical pist-driven protocols to Originally from Coordinator of Center in Salmon, ID. expedite patient care at Missoula, MT, Cardiopulmonary the bedside, something Reinertson graduated “I am excited to be at Services. As coordinator that’s likely to be months from University of Trinity in this time of he leads a team of in the making. In the Montana in 2002 with change and new leader- around 20 respiratory meantime he’s pleased to a degree in respiratory ship,” Reinertson said. therapists and other staff be part of great team. care. He worked five “After spending time within the department’s years with LifeFlight with Mark and folks in Reinertson is joined in Respiratory Care and in Pocatello, ID, and the department I could Minot by his wife, Kathy, EKG divisions. then served as lead tell that our ideas are in and their 15-year-old “Doug brings to Trinity respiratory therapist at sync. The staff is very son. an impressive set of skills Doug Reinertson, RT a long-term acute care skilled, and I look for- and credentials,” said facility in Post Falls, ward to advancing our Therapy Services “He’s the kind of top ID. For the past three capabilities even further Director Mark Waldera. flight person who can years he has managed the to improve patient care.” 8 • OCTOBER 2010 TRINITY HEALTH HEALTHTALK Healthy Halloween habits As summer draws to a issue, and make sure that packaged raisins, pack- parties associated with becomes a major issue in close and school bells children are taught aged nuts, packaged sun- the holiday, but do not the family that causes begin to ring again, we sound nutrition the flower seeds, fruit provide the opportunity more arguments than prepare for fall and all of majority of the year. leathers, and to overindulge by happiness – throw it its offerings including whole having bowls of away in the beginning of One of the most benefi- Halloween celebrations. grain candy November. Just as cial things that you can around for Thanksgiving leftovers With Halloween parties teach your child in terms the don’t last for weeks, and trick-or-treating, of nutrition is to eat reg- weeks neither must Halloween comes lots and lots of ular, balanced meals that prior candy. candy! This candy can include milk, fruits and and either become a point of vegetables, whole grains Halloween should be a after contention between and lean proteins. joy-filled childhood the parents and their chil- When kids leave occasion. Set your family holiday. dren or a good teaching for trick-or- up for success by eating point in healthy nutrition treating, if Also, enjoy three well-balanced habits formation. you have getting out and meals daily and instilling already walking the neigh- good nutrition habits in Halloween is a day of filled them borhood for the exer- your children throughout celebration for children, with nour- cise during trick-or-treat- the year, so that and much like ishing food, ing. Avoid bringing the Halloween can be about Thanksgiving when they are not “after Halloween sale the pumpkins, costumes, adults tend to overeat, a crackers going to candy” into the home. trick-or-treating and time little overindulgence is with want to If you witness your with family and friends. expected for kids on string cheese. consume an children struggling to -Article submitted by Halloween. The day of extraordi- “Everything in modera- maintain moderation Allison White, LRD, Halloween will not make nary amount of tion with exercise” is the (two to four pieces daily) Clinical Dietician, a large impact on the candy. You can also assist most concise, accurate with their candy, then Trinity Hospitals nutrition status of the in developing their taste nutrition advice that can portion three candies child. In other words, and appreciation for a be given. Practice moder- into baggies and let them relax and have fun on variety of foods. This can ation at Halloween time choose a bag each day to Halloween without mak- include giving away by truly enjoying the day enjoy continuing the ing the candy a major healthier snacks such as of Halloween and the celebration. If the candy Quick nutrition tips for Halloween time 1. Eat a well-balanced supper meal and make sure everyone is fully hydrated with water before heading out for trick-or-treating 2. Consider throwing a fun Halloween dinner party for the neighborhood kids and send everyone out into the Halloween night with tummies full of a balanced meal 3. Do not keep extra Halloween candy from the store in the house in the days prior to and after Halloween 4. If steering clear of over-eating candy after Halloween night becomes difficult for any family member, portion three pieces into baggies and have everyone in the family choose one baggie each day 5. Consider giving out different types of treats with more nutrition to offer. Try the following which can be purchased packaged individually: sunflower seeds, raisins, nuts, string cheese and whole wheat crackers, and fruit leathers 6. Remember the value of staying hydrated to make better nutrition decisions. Water, milk and unsweetened tea are the best choices 7. Capitalize on physical activity for the calorie burning and health benefits. Be sure to walk the neighborhood for trick-or-treating 8. If your child eats too much candy, ask him or her to describe how it makes them feel. Verbalizing that they don’t feel well after ingesting too much sugar can be a valuable nutrition teaching point C O M M U N I T Y C A L E N D A R For the latest updates, check online at www.trinityhealth.org October 2010 October/November/December 2010 Mobile Mammography Schedule Prepared Childbirth Classes 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Newburg, 272-6352 Learn about exercise and breathing techniques, labor/delivery, 4 & 19 . . . . . .Towner County Medical Center – Cando, 968-2522 newborn care, newborn feedings, etc. Enrollment is limited. 5 & 18 . . . . . . . . . . . . . .Devils Lake Community Clinic, 662-8662 November 2-23 (Tuesdays) 6 . . . . . . . . . . . . . . . . . . . . . .Johnson Clinic – Maddock, 438-2555 7-9 p.m. in the Prepared Childbirth Classroom, Health Center – 7 . . . . . . . . . . . . .Mountrail County Med Ctr – Stanley, 628-2505 Riverside Education Center, 1900 8th Ave. SE. 11 & 12 . . . . . . . . . . . . . . .St. Luke’s Hospital – Crosby, 965-6349 November 3-24 (Wednesdays) 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Riverdale, 654-7616 7-9 p.m. in the Airmen and Family Readiness Center, MAFB. Please call 723-3950 to register. 20 . . . . . . . . . . . . . . . . .Kenmare Community Hospital, 385-4296 25 & 26 . . . . . . . . . . . . . . . . . . . . . . . . . . .Tioga Clinic, 664-3368 October 9, October 23, November 6 & December 4 (Saturdays) 9 a.m.-4 p.m. in the Prepared Childbirth Classroom, Health 27 . . . . . . . . . .Trinity Community Clinic – New Town, 627-2990 Center – Riverside Education Center, 1900 8th Ave. SE. Trinity Health Community Flu Shot Clinic Sept. 30 and Oct. 1 & Oct. 7 & 8 Family Birth Center Tour Expectant mothers are invited to attend a formal group 11 a.m. to 6 p.m. tour/education/Q&A session at Trinity Hospital’s Family Birth JC Penney Court in Dakota Square Mall Center. This opportunity allows every expectant mother to hear and see valuable information in a friendly environment. We will H1N1 (Swine Flu) Vaccine is included in this year’s vaccine. also provide information including on self-care, infant safety and Cost per vaccination is $30 payable at the time of service. what to expect during your delivery. See www.trinityhealth.org or call 857-5380 for detailed schedule. Everyone is encouraged to get their flu shot. Parenting Education Classes Breastfeeding Basics Trinity Mental Health Services will be hosting Parenting October 12, November 10 & December 7 Education classes beginning on September 7 continuing through Offered by Laureen Klein, RN, BSN. Meets from 7-8 p.m. in the December 21, 2010. The program is geared toward families with Prepared Childbirth Classroom, Health Center – Riverside children 0-12 years of age and will be held Tuesday evenings at Education Center, 1900 8th Ave. SE. Trinity Health Center – Riverside. Each class begins at 5:30 pm These classes are offered free of charge as part of Trinity’s community benefit with a light supper and will conclude at 8 pm. There are no mission, but registration is typically required. For more information or to registration fees, to pre-register please call 857-3622. register for classes, call 857-2310 or 1-800-862-0005.
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