ARCHIVES

0 114

For smokers who are trying to quit, what if a smartphone app could predict when they are most likely to relapse and light a cigarette? And what if that app could intervene, sending its users messages that successfully diverted them from smoking?
Such technology has been created at the Oklahoma Tobacco Research Center, a program of the Stephenson Cancer Center at OU Medicine. The researcher who created the app, Michael Businelle, Ph.D., recently received a $2.7 million grant from the National Cancer Institute to conduct a larger study on its effectiveness as compared to other types of cessation tools. In a time when most people have smartphones, almost always within arm’s reach, such technology is proving to be a valuable means of behavior change.
“Statistics show that nearly 80 percent of smokers want to quit, but without help, less than 5 percent are successful,” Businelle said. “People spend a lot of time on their phones, particularly texting and using apps. I see health behavior change services like smoking cessation becoming more and more mobile.”
Businelle has conducted several years’ worth of development and research on his tobacco cessation app, called Smart-T (Smart Treatment). Before he arrived at OU Medicine, he was a faculty member at the University of Texas School of Public Health in Dallas, where his team created the first version of the app. In his original study, he loaned smartphones to participants who were prompted by the app to answer about 25 questions at five different times during the day. The questions asked about things like current urge to smoke, motivation to quit, access to cigarettes, and whether they had consumed alcohol recently. The questions were then narrowed down to the six most relevant, which were used to create a smoking lapse risk estimator that determines whether a person is in danger of relapsing in the next few hours.
“Our research showed that the risk estimator predicted about 80 percent of all smoking lapses within four hours of the lapse,” Businelle said. “Sometimes the risk estimator would know about the potential for relapse before the person was aware of it.”
Businelle’s previous study set the stage for his current funding. In the earlier study, 81 people were randomized into three treatment groups: the Smart-T app; in-person cessation counseling; or an app produced by the National Cancer Institute. Businelle was pleasantly surprised by the results: 22 percent of those who used Smart-T quit smoking, compared to 15 percent for those who received in-person counseling or used the National Cancer Institute app. Although the sample size was small, the results warranted a larger study, for which he received the $2.7 million federal grant. For five years, the study will follow 450 participants who will be randomized into two groups.
When the risk for lapse is high, the Smart-T app delivers a tailored message in real time. If individuals indicate that their current stress level is high, they immediately receive a message about coping with stress. Or if they report their motivation to quit is low, they receive a message that aims to increase motivation. “Smart-T truly tailors treatment content to what is needed in that moment,” he said.
The app has additional features that are crucial to the study. For instance, it has on-demand treatment functions so that users can click a “quit tips” button at any time to read through tips on how to cope with stress and urges to smoke. In the newly funded study, participants will blow into a small device that connects to the phone and measures the level of carbon monoxide in their breath, which determines if they have smoked recently. This reduces the burden on participants because they will not have to return to the clinic to verify if they successfully quit smoking or not.
Businelle’s hypothesis is that Smart-T will help people to stop smoking and remain tobacco-free. The advantage of the app, he said, is its ability to prompt people with questions throughout the day and then automatically deliver tailored messages in real time, a function that other apps don’t have.
Using an app for tobacco cessation may not be for everyone, he said, but it is sure to appeal to many people. Because Oklahoma is such a rural state, many people don’t have the time or resources to drive longer distances to a tobacco cessation clinic. Calling the tobacco quitline has helped many people quit, but those calls may last up to 30 minutes vs. interacting with Smart-T for 30 seconds five times a day, wherever the user may be.
“As a clinical psychologist, my expertise is in helping people change behaviors they want to change,” Businelle said. “Mobile technology holds much potential for helping people who want to quit smoking.”
For more information about Businelle’s Smart-T study, his research team can be reached by calling 405-271-QUIT or by emailing Michael-Businelle@ouhsc.edu. He directs the Mobile Health Technology Shared Resource, which has developed more than 30 apps aimed at helping people change behaviors they want to change. The Oklahoma Tobacco Research Center at the Stephenson Cancer Center is funded by a grant from the Oklahoma Tobacco Settlement Endowment Trust.

0 1006

Your future starts with us

RN Manager (night shift)

The Children’s Center Rehabilitation Hospital is a private, nonprofit hospital offering 24-hour medical care, comprehensive rehabilitative therapies, respiratory care, and special education.

· Competitive salaries · Excellent benefits · Great work environment · Professional growth · Wellness program

The Children’s Center Rehabilitation Hospital

Learn more and apply: miracleshappenhere.org

EOE

0 1769
Kim Shannon, seated, had an entire system working for her including Drs. Angela Carrick and Michael Porter when she survived a massive stroke one year ago.

by Bobby Anderson, RN, Staff Writer

It was the morning of January 10, 2018 and Kim Shannon, RN, woke up to start another day.
As a clinical instructor for Moore Norman Technology Center, Shannon would be checking on students at clinical sites across the metro.
Only if she could get the bathroom door knob open.
“I couldn’t make it turn,” Shannon remembers. “I remember getting really upset that my arm was so weak.”
That doorknob never turned as Shannon went through the initial phases of a massive stroke. But little did she know her husband’s call to 911 would set in motion a finely-tuned process that would save her life.
“I’m kind of an anomaly,” Shannon said one year later. “Most people that have the kind of stroke I had are dead or they’re not able to communicate in any way.
“God just wasn’t ready for me. Everybody was in place at the right time.”
That phone call started an EMSSTAT ambulance to her location East of Hwy 9 in Norman. Paramedics quickly realized the situation and radioed ahead a Code Stroke to Norman Regional Hospital’s Porter Campus.
“They didn’t waste any time,” Shannon said. “The paramedic started an IV while we were driving and they were driving fast. She told me ‘we’re going lights and sirens. Don’t be scared. We just need to get you there quickly.’”
TIME IS BRAIN
According to the American Heart Association journal, Stroke, every minute in which a large vessel ischemic stroke is untreated, the average patient loses 1.9 million neurons, 13.8 billion synapses, and seven miles of axonal fibers. Each hour in which treatment fails to occur, the brain loses as many neuron as it does in almost 3.6 years of normal aging.
That’s why ER staff were waiting at the door.
As luck would have it Carla Lewis, RN, was there, too.
“She and I went to nursing school together,” Shannon smiled. “I had known her forever. That made me comfortable right away. I knew Carla was going to take good care of me.”
ER Dr. Michael Porter was there, too, assessing Shannon and explaining if she had a blood clot then tissue plasminogen activator (tPA) would be indicated to restore blood flow.
Shannon was sent straight back for a CT scan of her head.
“As I was still rolling out of the machine Dr. Porter was there with a resident and two syringes,” Shannon remembered. “He said ‘you have two clots.’ They gave (tPA) to me right then. It was that quick. Everything happened right because my brain was already 50 minutes with no oxygen.”
Shannon received tPA within 16 minutes of arrival. National stroke guidelines call for administration within 60 minutes.
Thirty minutes later, Shannon started saying words, moving her right thumb and wiggling toes as one clot dissolved.
Another ambulance rushed her to OU Medical Center for a thrombectomy to be performed by Dr. Bradley Bohnstedt.
The second clot was retrieved within four-and-a-half hours of onset.
Even on a day of so much trauma, Shannon remembers so much detail.
There was Carla’s peach scrubs, signature messy bun hairdo and how beautiful she looked.
“I remember his face,” Shannon said of Dr. Porter. “He was kind and he did everything he was supposed to do and it worked.”
She remembers nurse Lisa at OU Medical Center. There was Barney in ICU, Kate the stroke director and Heather.
And then there was Dr. Bohnstedt.
“I remember (in the cath lab) him asking for a No. 8 and getting really frustrated when they couldn’t find one,” Shannon said. “I remember thinking ‘somebody give him the damn No. 8.’”
Before the stroke, Shannon was an OR nurse at Norman Regional before starting the Surgical Technology program at Moore Norman Technology Center in the late 1990s.
She tried to go back to work. One month later she experienced a total reactivation of the stroke site.
“When I have too much stress or use my brain too much a portion of my brain shuts down to protect itself,” said Shannon, who says she’s lost much attention to detail. “It happens when I get sick or during busy times. It’s frightening, nonetheless. I’m a little bit afraid that maybe this one will stay or it’s another stroke.”
“I know I’m probably never going to be 100 percent and I know I’m not going to be able to work as a nurse and I’m OK with that. I’ve made my peace with that,” Shannon continued. “But I’m able to live a full life – a good life – and enjoy my kids and grandkids.”
It’s outcomes like Shannon’s that drive Courtney Stark, RN, who oversees stroke care at Norman Regional’s three campuses.
“I think we’ve done amazing,” Stark said of her program. “I’ve been very impressed. Some of the hats some of the people in our committee wear are multiple. Other facilities they have a community education person, someone who does just their data, a coordinator, a manager – they have so many people that can help run their program.
“I think the fact we have fewer of these, we’re smaller and what we’re doing just proves we’re doing it for the patient. It would be easy to say we don’t have the resources.”
Shannon is happy.
“It worked perfectly and I hope that it works that way for everybody,” she said. “I know things don’t always go right – it’s the wrong time of day or there’s three people in front of you – but it worked for me.”

Your future starts with us

RN Manager (night shift)

The Children’s Center Rehabilitation Hospital is a private, nonprofit hospital offering 24-hour medical care, comprehensive rehabilitative therapies, respiratory care, and special education.

· Competitive salaries · Excellent benefits · Great work environment · Professional growth · Wellness program

The Children’s Center Rehabilitation Hospital

Learn more and apply: miracleshappenhere.org

EOE

0 964

My Thoughts: Oklahoma needs more registered nurses with bachelor’s degrees, not fewer

by Shelly Wells, Ph.D., chairwoman of the Northwestern Oklahoma State University Division of Nursing

The recent Governor’s STEM Education Conference brought to light the plight of the state’s higher education financial crisis. Among other things, it has been suggested that registered nurses could be adequately prepared through the state’s associate degree programs. While there are opportunities for improvement, care must be taken not to cut the throat of Oklahoma’s already bleeding health care system.
The largest sector of the health care workforce is made up of registered nurses, and there is a pronounced shortage of registered nurses on the health care team in Oklahoma.
The health of Oklahomans is directly impacted by the lack of highly educated registered nurses. The complexity and technological advances in health care call for a well-educated nurse workforce.
The 2018 Commonwealth Fund Score Card on Health System Performance ranks Oklahoma at No. 50 on overall health performance with the 30-day hospital mortality rate and mortality amenable to health care being two of the indicators that worsened from previous years’ rankings.

Published February 4, 2019. Go to www.oknursingtimes.com and click download latest issues / February-04-2019-issue-r to read OR VISIT OUR FACEBOOK PAGE.

LOUISA SAYS: Whether you’re an ADN or BSN doesn’t matter when you sit down to take the NCLEX!! Back when I decided to go to nursing school a major play in my decision was their percentage rate on their students passing the NCLEX the first time. Guess what? The program I chose was an ADN. They beat all the BSN programs in their area.

AMY SAYS: OKlahoma nurses are lowest paid ranking 48 of 50 states.

SHAY SAYS: There is only one hospital that pays a difference from ADN to BSN and that’s the VA. I went to Oklahoma panhandle state university and they have tuition waivers. Please look into them. The tuition waivers are for RNs who graduated from a Oklahoma Community college, there is a list of schools. It’s called the BSN Connection Scholarship. I just graduated in Dec.

DEBBIE SAYS: Retired after 45 yrs at the bedside, big deciding factor was the 12 hr shift requirement, even the youngsters are exhausted, can you imagine what the future will bring? All I see now is cranky nurses these days, that wasn’t the case years ago

ASHLEY SAYS: What’s the difference in pay for a RN A.D.N. and a RN B.S.N.? What’s the cost for a BSN verse ADN? There you have it. Pay up. Oklahoma needs to PAY their healthcare professionals what they’re worth. I’m not saying there aren’t A.D.N. RN’s out there just as wonderful as BSN R.N.’s, but seriously, if you want the cream of the crop, and if you think BSN is just that, then pay up! Give an incentive for that extra time in school and extra debt.

JONATHAN SAYS: Mickie, I’m an ADN RN, and I’ve seen some crappy BSN RN’s and some LPN’s that work circles around them and are better nurses. I know I eventually want to get my BSN just to say I got it, but I don’t see the point as no one will get a pay raise anyway. RN’s and LPN’s and CNA’s are underpaid as it is.

To read more, visit our facebook page at: https://www.facebook.com/oklahomas.nursingtimes/

TRANSFORM YOUR CAREER WITH US.

INTEGRIS Community Hospitals

Now Hiring at ALL Locations
Council Crossing • Moore • OKC West • Del City

POSITIONS AVAILABLE:
• ER Registered Nurse
• Inpatient Registered Nurse
• ER Technicians
• CT/Radiology Technologists
• Patient Access Specialists

Full-Time and PRN positions available
Competitive Salaries

APPLY NOW at INTEGRIScommunityhospital.com

INTEGRIS and Emerus are joint venture partners in INTEGRIS Community Hospitals. Emerus is the operating partner and hospital team members at the community hospital locations will be employees of Emerus Holdings, Inc., a national network of hospital partners and largest operator of micro-hospitals.

0 608

The University of Oklahoma Fran and Earl Ziegler College of Nursing has risen into the top 20 rankings as one of the best online graduate nursing programs for 2019 as announced by the U.S. News & World Report. This year, the OU College of Nursing is tied for No. 19 in the rankings, marking its first top 20 achievement. The rankings were released this week.
“The OU College of Nursing was a pioneer when faculty began delivering nursing education online in the 1990s,” said Interim Dean Gary Loving, Ph.D., R.N. “That rankings of our online programs continue to rise is a testament to the skill and experience of the faculty who teach in our online programs.”
The rankings are determined by how nursing programs perform in five areas: engagement, faculty credentials and training, expert opinion, student excellence, and services and technologies. A separate peer assessment survey was filled out by deans of nursing schools with online graduate programs and top distance-learning officials at those institutions.
The Fran and Earl Ziegler College of Nursing is nationally recognized, offering bachelor’s, master’s and doctoral level programs to those interested in starting or advancing a career in the profession of nursing. With locations in Oklahoma City, Tulsa and Lawton, the college is the state’s largest nursing program and is dedicated to continuing the leadership and academic excellence that have become synonymous with the University of Oklahoma.

Saint Francis Hospital Muskogee

$20,000 sign-on bonus and relocation assistance.*

Saint Francis Health System, Oklahoma’s largest healthcare provider, is excited to offer this limited-time opportunity to nurses who join our Muskogee team.
In addition to a sign-on bonus, Saint Francis Hospital Muskogee nurses enjoy:

· Great benefits, including paid time off, medical and dental insurance, on-site childcare, retirement plans, adoption benefits and more
· Educational and growth opportunities such as tuition reimbursement, NCLEX reimbursement, clinical ladder, CE opportunities and more

Saint Francis Health System is a qualified not-for-profit organization so you may be eligible for federal student loan forgiveness.**

Apply now at saintfrancis.com/nursing or email Melissa Finklea at MFinklea@saintfrancis.com for more information.

*Applies to registered nurses in select patient units with at least two years of nursing experience. Four-year work commitment required. Limited time only: Program ends March 31, 2019.
**Saint Francis Health System is a qualified not-for-profit organization, so you may be eligible for federal student loan forgiveness. View program details at studentaid.ed.gov.

EOE Protected Veterans/Disability

0 733
Teresa Adams, LPN enjoys working at PARCway. “It is nice to see the positive changes in the patients after they have spent time in rehab,” Teresa commented.

by Vickie Jenkins – Writer/Photographer

Thanks to our dedicated and caring staff, PARCway Post Acute Recovery Center provides guests with top-notch skilled nursing services, 24 hours a day, seven days a week. With more than 20 licensed therapists, including full-time and on-call nurses and on-site medical professionals, PARCway helps your loved one transition back home, or into an assisted living community. Through their comprehensive and integrated skilled nursing services, they consistently inspire, innovate, and raise the industry standard.
Meet Teresa Adams, LPN. Growing up in Oklahoma City, Teresa has been in the medical field for twenty-five years. She started out as a CNA, Medical Aide, then a Medical Assistant Phlebotomist Instructor and a CPR Instructor and started working at PARCway in July 2018. “I love my job here. This is a great place to work,” Teresa commented.
What is your favorite thing about working here? “I like the fact that I can help people. When the patients get here, they are hurting and some are unable to walk. Afterwards, it is nice to see all of the changes that have happened and they always feel much better,” Teresa commented. “My biggest challenge with my job is the fact that I cannot spend as much time with each patient the way I would like to. The patients stay here for 10 days up to 100 days, depending on their situation. It is always a lot of work for the patient but the more rehab they do, the quicker they recover,” Teresa added.
I asked Teresa to describe herself. “Well, I am very compassionate, loyal and trustworthy. I am a team player and I think that is very important. We’ve got to all work together. I treat each patient with the dignity and respect that they deserve,” she replied.
What qualities do you think made a good nurse? “Of course, a nurse has to have plenty of compassion and have that desire to care for others. To sum it up, I think a nurse has to have a lot of integrity,” Teresa said.
“If I were going to give advice to someone going into the medical field, I would tell them to be a CNA for about a year first, to see if the job is right for them. They need to start from the bottom, learning as they grow, knowing what they want to do with their life. They need to be committed to their job, working as a team player, never giving up,” Teresa said. “Also, if you have that one friend that keeps pushing you along, telling you to follow your dream, it helps. I had a classmate that was like that; Jesse Barton. He always encouraged me to keep going, even when I didn’t feel like it sometimes. He was always there for me and to this day, we are still friends.”
Asking Teresa where she saw herself in five years, she replied, “I plan on going to OSU in the fall to become an RN. After that, I would like to work at Stephenson Cancer Center, downtown OKC. I have a desire to work with cancer patients; it hits close to home since I have a family member going through cancer.”
When I asked Teresa if she had received any awards or recognitions, she told me that her biggest reward was when she receives thank-you cards from the patients and their families. I receive lots of cards, snacks and goodies too. That recognition means more to me than anything,” she said.
A typical day for Teresa is usually repetitive. “We all meet together to get the updates and reports on the patients. I check on all of the patients throughout the day. All of the nurses are considered charge nurses and each one of us help take care of the patients in the other areas when needed. It’s a team effort,” Teresa commented.
On a personal note, Teresa enjoys spending time with her husband and their two daughters and two sons, along with her six year old granddaughter and her three year old grandson. “Life stays busy,” she commented. “I enjoy scrapbooking and usually end up doing arts and crafts with my two grandchildren. I like gardening and I love to travel when I get a chance to go for a little vacation,” she said.
Teresa’s words that she always seems to say to others and words she lives by are: This too shall pass. Spoken like a true nurse! Summing up her life in one word, “Never-ending.”

GOLDEN AGE NURSING FACILITY
Long-Term Care and Skilled Nursing

HIRING RN AND LPN CHARGE NURSES

· A short drive from Edmond & OKC.
· Located in historic downtown Guthrie.
· Work in a positive team environment with leaders who value our staff.
· Make a difference in the lives of those we serve.
· Family-owned and operated.

· Great Work Place
· Competitive Pay
· Insurance Benefits
· Paid Time Off
· Matching 401K

Apply on-line at www.companionhealth.net

0 726
Angela Archer has been a nurse for over 28 years and graduated in 1990 from TJC, now known as TCC in Tulsa Oklahoma. She has worked in the Medical-Surgical Float Pool at St. Francis Hospital in Tulsa recently returning to school and fulfilling her goal of completing a BSN. She is also planning to continue her education in a Master’s program in Nursing Informatics.

Most of us have either heard or read about the Vanderbilt Nurse who was charged with homicide in the death of her patient from an accidental overdose in 2017. True, there were factors in this case that should not have happened, i.e., why was Vercuronium available in a radiology area, and for that matter, why was it allowed to be overridden in the medication dispensing cabinet? However, I or you weren’t walking in her shoes, and this is not up to us to draw up any conclusions, it is now in the hands of the Tennessee court system to make that conclusion.
This case has rattled us as a profession. It should wake everyone up, from the top administrators to the nurse at the bedside. Will this case set a precedent for other accidental deaths in hospitals or those patients in our care? Nurses and healthcare providers have patient safety as a number one goal. We do the best we can with the resources we are given or are provided, yet, we are humans, and humans make mistakes. Unfortunately, the patient paid the ultimate price with his life from a mistake, and a nurse also has had her life and career ultimately changed and damaged.
Who is to blame? The nurse, the institution? The doctor? The justice system? Everyone? I was reading an article by Dr. Phillip Boysen on “Just Culture”. In his article Dr. Boysen states “Punishing people without changing the system only perpetuates the problem rather than solving it”(Boysen, 2013).
Are we at risk for being arrested as criminals when a patient receives pain medicine on a long term basis, becomes addicted, then files a lawsuit against the facility, physician and or the nurse for giving the pain medicine in the first place. Yes, I know, this is not the same as a patient death, but you get the idea. Will the authorities go around arresting medical and nursing personnel for “reckless endangerment”, of contributing to a patient’s addiction to pain medications?
I believe there are more questions than answers in this case. This has shaken the core of nurses and nursing all around the U.S. Most nurses I have spoken to, and about this unfortunate case are sympathetic with the nurse. A few are not. I believe it is not our job to judge, our job is to make our profession a better, safer place for all.
Angela Archer has been a nurse for over 28 years and graduated in 1990 from TJC, now known as TCC in Tulsa Oklahoma. She has worked in the Medical-Surgical Float Pool at St. Francis Hospital in Tulsa recently returning to school and fulfilling her goal of completing a BSN. She is also planning to continue her education in a Master’s program in Nursing Informatics.

A Great Place to Work ~
Join Our TEAM Today

$5,000 SIGN ON BONUS FOR FULL-TIME POSITION

We are hiring RNs for
Medical-Surgical – RNs
Emergency – RNs

Applicants should apply at
www.alliancehealthseminole.com

0 907

Why do you do what you do? Integris Southwest Medical Center
Quality/Infection Control

It makes a difference in the lives of all our patients.

Tami Inman, RN

Every patient that comes through our doors deserves the same level of care and in quality you have a better ability to achieve those results

Emily Coppock, RN

I love taking care of patients whether its bedside or on the backside from a quality perspective.

Michelle Stilwell, RN

Easy, I would like to make a difference helping people and impacting care for others. I have a passion for people.

Ashley Santoro, RN

FIVE STAR RATED CMS
Great opportunity to work with us with excellent benefits, including great employer matching 401K,
Tuition Reimbursement, Christmas bonus and the opportunity for quarterly bonuses!

COMMUNITY HOSPITAL
NORTHWEST SURGICAL HOSPITAL
INTEGRIS NETWORK

North Campus Positions:
· RN, Med Surg Days (7am-7pm) and Nights (7pm-7am) FT and PRN $5,000 SIGN ON BONUS for FT Nights
· RN, Pre-op/Phase II Recovery, M-F, Variable Hrs, FT
· RN, OR Circulator, M-F Days, FT
· Paramedic, Med Surg, 7p-7a, Variable Nights, FT
· Patient Care Tech, Days (7a-7p) FT
· Unit Secretary, Days (7a-7p) & Nights (7p-7a), PRN
· Patient Access Representative, Imaging, FT · MRI Tech, PRN
· Sterile Processing Tech, FT, $1000 SIGN ON BONUS

South Campus Positions:
· RN, Director of Nursing, Med Surg, ER, ICU
· RN, Emergency Department, Prime Weekend Contract, FT
· RN OR Circulator, M-F Days, FT $5,000 SIGN ON BONUS
· Patient Care Tech, Med Surg, Nights (7p-7a), FT
· Surgical Tech, M-F Days, FT
· Sterile Processing Tech, FT, $1,000 SIGN ON BONUS
· Cook, Nutritional Services, FT
· Occupational Therapist, PRN (Outpatient Hand Therapy Clinic)
· Radiographer Tech, M-F Days, FT · Pharmacy Tech, Variable Days, PRN
· Physical Therapy Tech, FT (Outpt Therapy Clinic)

Northwest Surgical Hospital Positions:
· Pre-op/PACU Lead/Manager, M-F Days
· RN OR Circulator, M-F Days, FT $5,000 SIGN ON BONUS
· Sterile Processing Tech, M-F Days, FT $1,000 SIGN ON BONUS
· Unit Secretary, Day, 10 hour shifts, Tues-Thurs, FT
· Radiographer Tech, M-F Days, Variable Hours, FT

Apply online
CommunityHospitalOKC.com/job-postings
NWSurgicalOKC.com/job-postings

Community Hospital/Northwest Surgical Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Community Hospital/Northwest Surgical Hospital is a facility in which physicians have an ownership or investment interest.
The list of physician owners or investors is available to you upon request.

0 558

I am the parent of two teenagers who have been encouraged by their social studies teacher to learn about the election process. I think this is a great idea but as I have been watching the debates, news shows and what is posted on social media, I was also acutely aware of how much I didn’t want them to watch and listen to the negative education they were receiving. Here is what I want to share.

WHAT I WANT MY CHILDREN NOT TO VIEW AS ACCEPTABLE:
1. People do not have to trash talk each other. Educated adults do not need to seek media attention based on the nasty statements they make about one another.
2. Lying is not a positive character trait.
3. Blaming is a sign of insecurity.
4. Giving false hope is mean. (anyone tired of the same old rhetoric, “we are going to create jobs, repeal Obama care, strengthen the middle class, etc, etc.)
4a. We have to remember the people talking about the middle class are not the middle class. Is any one of these people paying $900.00 for their health care premium? Does any one of them wait to buy a new vacuum cleaner until it goes on sale? Do they fear loss of their job because the government might shut down and relocate to Mexico?
whew……sorry about that! Back to my list.
5. Rationalizing and minimizing bad behavior is very ugly. If you said it, admit it.
6. Bullying is shameful.
7. If you are going to run for office, know what you are talking about. Talk smart.
We cannot let the behavior of politicians determine what our norms should be, nor should we emulate bad behavior or make lies our truth. We CANNOT become desensitized to irresponsible, inappropriate behavior and call it “the new norm.”
A quote that says it all: THE FURTHER A SOCIETY DRIFTS FROM TRUTH THE MORE IT WILL HATE THOSE WHO SPEAK IT. – George Orwell

Vicki L Mayfield, M.Ed., R.N., LMFT Marriage and Family Therapy Oklahoma City

If you would like to send a question to Vicki, email us at news@okcnursingtimes.com

Changing Lives for the better, together.
It is what we do. And, it is who we are. Join us!

At Hillcrest, our goal is to Change Lives for the better, together. Hillcrest Hospital – South provides state-of-the-art technology in an easy-to-navigate community setting.
Our 180-bed facility offers a wide range of inpatient and outpatient services, including maternity, cardiology, emergency, orthopedics and surgery.
Hillcrest Hospital – South is committed to evidence-based medicine and our results speak for themselves.

HILLCREST IS CURRENTLY HIRING NURSES!

$10,000 SIGN ON BONUS FOR KEY POSITIONS

· CVOR ICU Nights
· Cath Lab SDU Nights
· Med/Surg All Shifts NICU Nights

Hillcrest South offers:
• Sign-On Bonuses For Experienced & New RNs
• A Competitive Compensation Package
• Excellent Benefits
• Friendly & Collaborative Environment
• Opportunities For Advancement
• Tuition Reimbursement

Apply at www.hillcresthospitalsouthjobs.com
or call HR at 918-294-4866 if you have any questions.

Hillcrest Hospital South
8801 S. 101st East Ave.
Tulsa, OK 74133

0 550

The flu continues to be widespread as the Oklahoma State Department of Health (OSDH) and the OKC-County Health Department (OCCHD) report the first pediatric death associated with the flu since the season began in September. The death occurred in an Oklahoma County resident between the ages of 5-17.
This week’s flu report indicates 1,244 flu-associated hospitalizations and 31 deaths so far this season. Public health officials remind the public that there are several months remaining in the flu season, and the number of hospitalizations and deaths will continue to increase. A flu shot is encouraged for anyone over the age of 6 months who hasn’t already received one.
“Young children are among those most at risk for serious illness and death from influenza, so healthy individuals who get a flu shot are helping to protect those who cannot take a flu shot, including infants under the age of 6 months,” said OCCHD Executive Director Gary Cox. “Another benefit to getting the flu vaccine is that if you do by chance get the flu, your illness will be much milder than if you had not received a vaccine.”
For the current 2018-19 flu season, more than 500 Oklahomans over the age of 65, and more than 200 under the age of 18 have been hospitalized. More than 20 people over the age of 65 have died from flu-related complications.
In effort to reduce the number of hospitalizations and deaths, flu shots continue to be offered at no out-of-pocket cost statewide at all county health department sites.
Cox said the OCCHD has given over 7,000 flu vaccines since the start of the flu season last fall. Statewide, county health departments have given nearly 40,000 doses of flu vaccine.
“It’s not too late to get a flu shot,” said OSDH Interim Commissioner of Health Tom Bates. “At the beginning of the flu season, we made a strategic decision to offer the vaccine at no out-of-pocket cost in effort to lessen the financial burden for those in our communities. We still have an adequate supply of vaccine for our county health departments.”
In addition to getting a flu shot, it is important to practice frequent hand washing and prevent the spread of germs by covering your sneeze and cough. Those who are having flu-like symptoms such as fever, cough, sore throat, body aches, fatigue and chills are encouraged to stay home from public gatherings until they are able to go 24 hours without a fever, and without fever-reducing medication.
Those with the flu may develop secondary infections in the days or weeks following initial symptom onset which require additional medical attention. Parents should be aware of children with emergency warning signs of flu including the following:

*Fast breathing or trouble breathing
*Bluish skin color
*Not drinking enough fluids
*Not waking up or not interacting
*Being so irritable that the child does not want to be held
*Flu-like symptoms improve but then return with fever and worse cough
*Fever with a rash
Parents and caregivers should seek medical help right away for any infant who is unable to eat, has trouble breathing, has no tears when crying, and has significantly fewer wet diapers than normal.
Adults should seek medical attention if they or their child have difficulty breathing or shortness of breath, pain or pressure in the chest or abdomen, sudden dizziness, confusion, severe or persistent vomiting, and flu-like symptoms that improve but then return with fever and a worse cough.

Social