12/31/18

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Karla Holland, RN, is having a ball helping people find their way back from injury at Integris Jim Thorpe Rehabilitation Center.

by Bobby Anderson, RN, Staff Writer

Music, teaching, medical assisting and nursing.
Karla Holland’s background is varied, but she tears up when she talks about that last one.
There’s a passion on display that not everyone in nursing is blessed with.
And it’s a fact the Integris Jim Thorpe Rehabilitation Nurse of the Year knows all too well.
“The work we put in is good work,” she said, tearing up. “That’s why I keep doing it.”
Holland was a medical assistant, LPN then RN and is working on her master’s in leadership.
Coworkers will tell you she pours into her patients.
Halfway through her master’s degree, she’s continuing to pour into herself.
“It’s very beneficial because you have to look at the big picture. We aren’t just one unit it’s the whole hospital,” Holland said of how her studies and her job intertwine. “Every unit contributes to the whole hospital, the entire census and all the data.”
“I want to make a difference in healthcare. One person can make a difference but it’s better with a team.”
That word “team” gets referenced a lot when you you visit Jim Thorpe. It’s one of the reasons Holland loves her job so much.
Her former role was in pediatric home health. The move to rehab revitalized her.
“I love kids but I have kids of my own and I couldn’t do it anymore because it was so sad,” Holland said. “I did not want to be sad coming to work every day.”
“I enjoy rehab because you’re teaching people.”
The next fives years will likely yield a larger leadership role.
“I’ve seen other hospitals and that’s why I chose to work at Integris,” she said. “I like working rehab because we don’t have a lot of codes on this floor – I’m not saying it never happens – but you can actually see all the hard work you put in and see the miracles that do happen.”
Before nursing, Holland served as a pre-k music teacher at St. John’s Catholic Church in Edmond.
The move into healthcare was spurred by a need to make a difference and help others.
Since 1985, INTEGRIS Jim Thorpe Rehabilitation Center in Oklahoma City has been one of America’s largest and most respected systems for both inpatient and outpatient rehabilitation needs. The team includes physicians, nurses, psychologists, therapists, dietitians, social workers, and case managers.
The hospital offers acute care therapy services, inpatient rehabilitation, and outpatient rehabilitation at convenient locations in the Oklahoma City area, as well as across the state.
Jim Thorpe provides state of the art specialty programs for limb loss, brain injury, orthopedic injury, spinal cord injury, stroke and transplant/LVAD, and also serve patients with a variety of other illnesses and conditions including cardiac conditions, pulmonary disorders, Parkinson’s disease, burns, neurological conditions, cancer and other debilitating diseases.
Holland has worked at both Jim Thorpe facilities in the metro. Working at Integris Southwest Medical Center’s Jim Thorpe, she learned a lot about rehabilitation with spinal cord injuries.
Her Integris Baptist experience has opened up her eyes to cardiac rehab, LVAD, and transplant patients.
She tears up when asked why she does what she does.
No two days are alike.
“You can never plan, ever,” Holland said. “If you plan it’s not going to work out how you planned so I’m just open to whatever happens and deal with it. If you’re a planner and try to plan it’s not going to work out. You have to be flexible. Patient safety and patient care is always first.”
“You’re always using the nursing process and seeing what’s most important.”
Holland has three daughters and a son who were there as she battled through nursing school.
“I don’t know how I did it but I did,” Holland laughed. “I was studying constantly and my husband was a huge help.”
Earlier this year she was named Jim Thorpe’s Nurse of the Year for 2018. That meant she was able to dress up and attend a ceremony with her family. “I’m proud of my mommy, I think she deserves it because she works really hard and is a great person,” daughter Danielle said of her mom’s award.
“She works super hard and I’m proud of her and she helps a lot of people,” daughter Bella echoed.
And daughter Makayla summed it up quite nicely: “I think it’s awesome that my mom is nurse of the year and I’m very proud of her.”
And that, too, brings tears to Holland’s eyes.

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Lt. Dee Dee Carter (left), Integris Public Safety Specialist, and Cleveland County Sheriff’s Office Captain Ronnie Johnson helped the ONA shine a light on violence directed at nurses.

by Bobby Anderson, RN, Staff Writer

With 18 years in law enforcement, Cleveland County Sheriff’s Office Captain Ronnie Johnson has seen his fair share of domestic abuse cases.
As the Public Safety Specialist for Integris Health, Lt. Dee Dee Carter sees violence spill over into the hospital on a daily basis.
Each law enforcement officer says all too often nurses are caught in the middle of both situations.
“I’ve seen it my entire career,” Johnson said of abuse. “My first arrest in law enforcement was a domestic assault with a dangerous weapon. I didn’t recognize at the time that was going to be my niche, what drove me and what I really wanted to push for and push out of the community.”
“The way society is it’s going to take an entire community to say that’s not acceptable.”
Law enforcements, administrators and fellow nurses discussed the topic at the recent Oklahoma Nurses Association Annual Convention titled Empowering Nurses: Inspire. Innovate. Influence.
Nationally, 1 in 4 nurses have experienced some kind of workplace violence. The convention helped highlight the American Nurses Association’s initiative of ending violence against nurses in the workplace.
Johnson and Carter hit on both ends of the spectrum where nurses may experience abuse: at home and at work.
Speaking to an audience of largely women, Johnson shared ways people can find themselves trapped in domestic situations.
He highlighted a case where an abuser sent his partner to the store with a check to pay for goods or services knowing the check would bounce.
Once the check bounces merchants typically turn that person into the attorney general’s office for collection proceedings.
This generates a warrant for the check writer’s arrest until paid.
If the person experiencing abuse gets to the point where they threaten to call law enforcement then the situation is used against them with the threat of possibly losing their children.
“Would you second guess calling them if you knew your kids were going to be taken away?” Johnson said. “True or not but just the threat of that possibility (is enough).”
Abuse is often about control and may not manifest outwardly until later.
Whenever controlling tactics start not to work is when you see the physical and sexual violence and the battering stage, Johnson said.
“This could be a patient, a family member or coworker – talk to them,” Johnson said. “You need to say these things sincerely.”
Johnson recommends ways to approach including:
* I am afraid for your safety
* I am afraid for the safety of your children
* It will only get worse
* I am here for you when you are ready to leave
* You do not deserve to be abused.
* It’s not your fault.
At work, Carter says violence towards nurses is a constant concern.
“Self awareness is the biggest one and observing the environment before you go in and initiate care,” Carter said of ways nurses can be on guard. “(Nurses) are overworked so they are hasty to go into a room whether it’s altered mental status or a brain bleed or just a leg wound. They’ll go in and start their initial assessment without even seeing what (the patient’s) affect is.” The idea that some violence is just part of the job and nurses should be OK with that irks Carter, whose wife is a mental health nurse.
“I don’t care if its altered mental status, dementia or anything like that if you’re assaulted that’s assault,” Carter said. “Regardless, I’ll let the police make that decision or let a judge make that decision. We encourage our people ‘hey, you press charges, you got assaulted.’ You don’t have to be subjected to unruliness.”
“Once they’re medically cleared, that’s a felony charge and they can go to jail.”
Carter estimates that safety officers are not called soon enough in up to one-third of all calls. And some of that comes down to nurses believing they can or should deal with the situation.
“I have a gun and taser on my hip but if I’m going to go deal with that patient I’m going to call for backup so why would you go in and deal with that patient alone?” Carter said. “With my wife being a nurse that infuriates me.”
Johnson also advises nurses to never be in a room alone when dealing with patients withdrawing.
“They’re addicts for a reason,” Johnson said. “We have drugs and syringes. You have an alcohol patient that’s having the same withdrawal symptoms as someone on meth.”
“These people don’t want Norco, they want Jim Beam and vodka and you’re keeping them from getting their drug of choice and that puts you in a hostile situation.”

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Cassie Henry, LPN, enjoys working with the residents in the skilled nursing unit at Epworth Villa.

PASSION IN NURSING
SKILLED NURSING: KEEPING IT ON THE LIGHTER SIDE

by Vickie Jenkins – Writer/Photographer

Epworth Villa Skilled Nursing has earned a reputation for outstanding nursing and therapy care. Medicare covers skilled care following a 3 night stay in the hospital, when patients need a short term nursing and rehabilitation. Their licensed nursing and therapy team’s work together to develop a coordinated plan of care specifically for each patient. If you or a loved one wishes to use their services after a hospitalization, let your hospital case manager know that Epworth Villa is your choice. They will work together to make sure they can meet your needs.
One of the nurses that you will find working at Epworth Villa on the skilled nursing floor is Cassie Henry, LPN. Cassie has been at Epworth Villa for 5 years now. “I love my job,” she said. “In the beginning, I worked here in the assisted living unit as a CNA, then at Mercy Clinic here. That is when I went to school, going for my RN. When I came back here, I am presently working on the skilled nursing floor,” she said. “I like all of the residents that I have gotten to know.”
Growing up in Oklahoma, Cassie attended Canadian Valley Vo-tech. “I have wanted to be a nurse ever since I was a little girl. I remember helping take care of my grandparents. Gosh, that was so long ago,” she said. “I grew up on a farm, so naturally, we had lot of animals. I remember helping as much as I could. There was something special about taking care of all the animals that we had. I remember caring for them and taking care of them.”
What qualities make a good nurse? “Well, naturally, I would say that a nurse needs to be compassionate, understanding with good work ethics, but most of all, be patient.”
What is your favorite part about working at Epworth Villa? “I love the way that I can have direct contact with the residents. I like spending time with the residents whether it is to talk to them or to work with them. Bless their hearts. They have so many stories to share.”
What is the most challenging about your job? “I think it would be the lack of confidence on some of the residents so we say, we can do it! We try to keep the residents healthy and happy. That is our main concern,” she said. “I usually see 8-12 residents and each one with their own little personality,” she said with a laugh.
Cassie’s typical day stays pretty busy. “The resident can stay from 10 to 100 days depending on their medical situations and what their family wants them to do.”
Looking ahead, Cassie sees herself being here at Epworth Villa in 5 years. “Why would I ever leave a job that I love so much?” she asked. “Actually there are a lot of people here that have been here a lot longer than me. I love the skilled nursing residents, and I actually prefer this type work over the clinic work that I used to do. As the populations grow, I will still like this age group.”
Speaking to Cassie, she tells me how she is married to Curtis and enjoys spending time with him and their three daughters; Harley 15, Cheyenne, 12 and Hannah, 10. Their family likes to ride along the jeep trails, plus time remodeling their house and working on cars. “Yes, I grew up working around the house, repairing different things. I can work on cars just as well as the other person and proud of it!”
Cassie sums up her job in one word. “Busy,” she said. “Of course, that is not a bad thing,” she added. “Between my jobs, my family and a little remodeling on the house, (a lot of remodeling on the house) we have several pets; three Pit Bulls, one Yorkie, one mini Australian Shepherd, one Guinee pig and three fish.”
“The main point of my job is keeping my heart focused on the residents, making them feel loved and wanted. I grew up treating everyone the way I wanted to be treated, with compassion and love. I think that is what a lot of these residents want and I wasn’t to be a part of that,” Cassie said. “I just like to keep my conversations with them on a lighter side, let them know that I will be there to take care of them and if they need a laugh, I will try.”

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Cutting the ribbon for the first cottage to open at the Laura Dester Children’s Center residential treatment program are (L-R) Millie Carpenter, interim Child Welfare Services Director; Beth Scrutchins, Developmental Disabilities Services Director; Cody Inman, Special Assistant to DHS Director; DHS Director Ed Lake; Sarah Stitt, First Lady-elect; Dr. Hugh Sage, Director of Liberty of Oklahoma; Sue Nayda, Liberty Healthcare Corporation; Tom Bates, interim Commissioner of Health; Nellie Kelly, Executive Director Tulsa Protection Coalition.

The Oklahoma Department of Human Services (DHS) and Liberty of Oklahoma announced the re-opening of the Laura Dester Children’s Center as a short-term residential treatment program for children and youth with intellectual disabilities and severe emotional disturbances in the custody of the DHS. Speakers at the press conference included First Lady-elect Sarah Stitt, DHS Director Ed Lake, and Hugh Sage, Director of Liberty of Oklahoma.
Since the closure of the state-operated emergency children’s shelters, including the Laura Dester Children’s Center, DHS encountered a lack of appropriate treatment services in Oklahoma for children with intellectual disabilities and co-occurring mental health disorders and behavioral challenges. Half of the children who ended up at Laura Dester were children with those diagnoses and challenges, and several young people had to be sent out of state for a level of treatment that simply did not exist in Oklahoma.
“I am excited that our community has decided to fill the gaps that exist in our current mental health system,” said First Lady-elect Sarah Stitt. “I am also excited to see how we will change the lives of these children.”
This treatment program will serve up to 24 children and youth in three cottages, the first of which is expected to open shortly after the first of 2019, and the other two cottages by mid-March. The program will serve young people from across the state who have co-occurring diagnosis and are in the custody of DHS due to abuse or neglect. This will not be a home for children, but will provide short-term treatment, stabilization, and follow-along services, with an average expected length of stay of about six months.
“Our goal for the children who will receive treatment here is to help them get back home with their parents or in another family setting as quickly as possible,” said DHS Director Ed Lake. “We believe that every child deserves a family. We are also excited about the opportunity to repurpose this beautiful campus in a way that still meets its original purpose–to provide a safe haven for our state’s the most vulnerable children.”
About 30-50 percent of children and youth with intellectual disabilities also have co-occurring mental health disorders and challenging behaviors, and, for children in state custody, there is a significant need to stabilize their mental health and intervene as quickly as possible.
“We have the opportunity to serve children here and intervene earlier,” said Dr. Hugh Sage, Director of Liberty of Oklahoma. “We hope to improve the quality of lives for these kids.”

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It’s almost 2019 and those New Years Resolutions are being made………. to be broken! So why don’t we skip them this year and decide on more realistic goals. Lets take inventory and find something we can work on to get healthier, have more meaningful relationships and feel less guilt. So here goes……

First lets look at the verbiage we use that sets us up for failure. Lets replace the following words with the new 2019 words for success:
Old – Exercise
New – Movement
Lets stop making all those overinflated exercise plans that might last 2 weeks, usually involves expensive equipment, gym memberships, fitness classes, and wake up times at 0500 when 0700 is your wake up time. Failure is screaming your name.
Old – Confrontation
New – Uncomfortable communication
Does anyone really like confrontation?? (No hands raise!) But how is it possible to be in a relationship and not have “uncomfortable” issues that arise. If you try to avoid topics that are unpleasant, even anger provoking, they will NOT magically disappear. The more you run, the more they follow.
Old – Diet
New – Healthy choices
Does deprivation really sound like something fun? That’s what diet means……depriving ourselves of something we like. What if we said, “I am going to decrease the amount of times I eat fast food, replacing with a home cooked meal. I am going to find new recipes and enjoy eating healthy food. But please NO DIETS!!! Worst word ever!!!!!
Old – Should
New – Could
“I should have gone to bed earlier so I wouldn’t be so tired.”
“I should have made that doctor’s appointment.”
So how do you feel after making these statements? Guilty? That would be my guess.
“I could have gone to bed earlier so I wouldn’t be so tired.”
“I could have made that doctor’s appointment.”
Feel less guilty and more in control of your choices? That’s the idea!!
Happy New Year 2019!!

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

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When the National Council of State Boards of Nursing released guidelines for cannabis patient care, it simultaneously validated the legitimacy of cannabis nursing, and underscored the immediate necessity for medical professionals to gain practical medical marijuana patient care education. Cannabis Nurses Network, a professional education and development network, is producing the only conference where licensed medical professionals can get the education recommended in the NCSBN Guidelines; essential cannabis knowledge, clinical recommendations, administration and ethical considerations are integral to the programming. Cannabis Nurses Network Conference (CNNC) comes to San Diego, California February 28th-March 2nd, 2019.
“Cannabis Nurses are revolutionizing the future of plant-based healthcare. In response to a national shift that is currently occurring in healthcare, and specifically within the nursing profession, it has become imperative to provide nurses with access to high-level education involving the science, research, and implementation required for sustaining evidence-based practice regarding cannabis patients. CNN is heeding the call to deliver this important education during CNNC,” says the Founder of CNN and longtime advocate Heather Manus, RN.
National nursing guidelines and recommendations regarding cannabis related issues have recently been published highlighting required areas for nurses to seek continued education.
People are using legal cannabis products in nearly every state in our nation, with or without medical advice. Nurses are the patients’ lifeline, the heartbeat of healthcare, the ones who must learn and understand the importance of the human endocannabinoid system.
Cannabis Nurses Network is stepping in as an international resource for cannabis patient care with the conference, and an online fundamentals curriculum addressing medical marijuana education, scheduled for release in early 2019. The Cannabis Nurses Network Conference offers accredited continuing education, while bringing together thought leaders, educators and authors in medical cannabis education to advance the quality of cannabis patient care around the globe.
420MEDIA has been named an official media partner for the Cannabis Nurses Network Conference.
About Cannabis Nurses Network: The Cannabis Nurses Network is a professional development and education network designed exclusively for cannabis nurses, with a mission to empower nurses through education, opportunity, recognition and advocacy. www.cannabisnursesnetwork.com

Saint Francis Hospital Muskogee
$20,000 sign-on bonus for experienced RNs.*
As a Saint Francis Hospital Muskogee nurse, you can enjoy the best of both worlds:
a friendly, small community and the resources of Oklahoma’s largest healthcare provider.
And, now through January 31, enjoy a $20,000 sign-on bonus.*
Less than an hour from Tulsa, Muskogee features outstanding cultural and natural attractions, including
numerous lakes and state parks that offer boating, skiing, golfing, fishing and every other type of outdoor family recreational activity.
Why now is a great time to join our team:
• $20,000 sign-on bonus and relocation assistance for experienced RNs*
• Great benefits, including paid time off, tuition assistance, medical and dental insurance, retirement plans, onsite childcare, adoption benefits and more
• We are a qualified not-for-profit organization, so you may be eligible for federal student loan forgiveness**Saint Francis Health System includes:
• Saint Francis Hospital
• The Children’s Hospital at Saint Francis
• Warren Clinic
• Heart Hospital at Saint Francis
• Saint Francis Hospital South
• Laureate Psychiatric Clinic and Hospital
• Saint Francis Hospital Muskogee
• Saint Francis Hospital Vinita
• Saint Francis Cancer Center
• Saint Francis Home Care Companies
• Saint Francis Glenpool
To learn more about nursing opportunities at Saint Francis Hospital Muskogee, please call Melissa at 918-558-8028.
Learn More http://bit.ly/2QDqlDq
Saint Francis Hospital Muskogee
*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 January 31, 2019.
**View program details at studentaid.ed.gov.
EOE Protected Veterans/Disability
Got a question?

 

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What is one of your Christmas traditions? The Children’s Center Rehabilitation Hospital

We wake up at 7:30 and my dad cooks breakfast (the only day of the year) we open gifts, eat dinner and then, we watch a movie and drive around looking at lights.

Minjung Kim, RN

Getting with family and playing Bingo, Dirty Santa and Spoons. The kids find the perfect gift, teaching them it’s not what a gift cost but how meaningful it is to give the gift to each person.

Tommie Stephens, LPN

Every year we wrap up odd items from around the house and attach money to the bottom. The best part is how creative everyone gets and the reactions when it is opened!

Stephanie Thomas, RN

My favorite Christmas tradition is waking up early Christmas morning to make breakfast with my dad for the family.

Marissa Elrod-Schweitzer, CNA

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Runaway June will be highlighting the Annual Mercy Health Foundation Gala with a performance January 18, 2019.

Fundraiser will feature a performance by country music group Runaway June

Next month, break out your dancing shoes to benefit a great cause at the Mercy Gala, hosted by Mercy Health Foundation Oklahoma City.
The annual fundraiser will be held on Friday, Jan. 18, at 6 p.m. at the National Cowboy & Western Heritage Museum in Oklahoma City. This year’s event will feature dinner, a silent auction, a raffle, a special performance by country music trio Runaway June and an after party hosted by DJ Kirby.
Recognized by Billboard as the “Next Hot Trend in Country Music,” Runaway June is the first all-female trio in more than a decade to earn two Top 40 hits. The group also received a 2018 Academy of Country Music nomination for “New Vocal Duo or Group of the Year.” They just released their debut project for Wheelhouse Records and are preparing to join Carrie Underwood on tour in May.
“For more than 30 years, the Mercy Gala has been a way for the community to come together to help those in need receive medical services and we are so thankful for that support,” says Lori Cummins, executive director of the Mercy Health Foundation Oklahoma City. “And, we are thrilled to have Runaway June performing and DJ Kirby hosting our after party this year.”
DJ Kirby has a distinct style of mixing and blending classic party music spanning every music genre. He has performed with The Black Eyed Peas, Bon Jovi, Britney Spears, Maroon 5, Justin Bieber, Jay-Z, Justin Timberlake, Kid Rock and many others. He also has a mix show every Saturday on eight different radio stations across the country.
Because Mercy provides care to all patients, regardless of their ability to pay, all proceeds from the gala will support the charitable needs of patients at Mercy. Last year’s event raised more than $280,000 for programs like Mercy’s Project Early Detection, which provides free breast health services to uninsured or underinsured Oklahomans.
This year’s event will help support the charitable needs of patients at Mercy in Oklahoma City to include the Mercy Good Samaritan Clinic, Project Early Detection and other forms of patient assistance like help with medications, transportation, nutrition and more.
To learn more about the gala, to purchase tickets or to become an event sponsor, visit www.bit.ly/MercyGALA19 or call (405) 486-8944. Individual tickets are $200 and sponsorship opportunities are still available.

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