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2ECRUITER 3HOWCASE-ARCH 6OL )SSUE )NFORMATION FOR THE /KLAHOMA .URSING (EALTH #ARE 0ROFESSIONALWWW OKNURSINGTIMES COM0UBLISHED 7EEKLY ,OCALLY /WNED AND /PERATED BY -ETRO 0UBLISHING , , # Prevent Clinichelping Brookhavenresidents stay healthy.URSE HELPSTRAIN/KLAHOMADOCSphoto by Mike LeePam Spanbauer, RN, serves on the Physician Manpower & Training Commission.Pam Spanbauer, RN, BSN,MEd, may be retired from hernursing practice but her impacton healthcare in Oklahomawill be felt for generations tocome.As the governor’s appointeeto the Physician Manpower&TrainingCommission,Spanbauer is the only nurseon the board that helps ensurehealthcare for thousands ofrural Oklahomans.Now the board chair,Spanbauer helps make surethat small communities inOklahoma get the competentand professional physiciansthey so desperately need.Spanbauer also currentlyserves as the vice presidentof the Oklahoma NursesAssociation.The commission is a taskforce established in the 1970s.“They have funding to helpfund physicians in training togo out into the rural areasin Oklahoma,” Spanbauer said.“In Oklahoma we have somuch rural area. In thesefarming communities the lastthing they can do is take aday and drive to the city toget healthcare and drive back.“It’sreallyimportantespecially with the fact wedon’t have many hospitals inthe rural area.”Spanbauer was raised in asmall town in North Carolina.She had a single doctorgrowing up who took care ofher entire family.“If we had tohave gone to thecity we probablywouldn’t have gottenhealthcare,”saidSpanbauer,whosefamily lived 50 milesfrom the nearesthospital. “I’ve alwayshad that small-townrespect.”She says the/ ,!(/-! 3 .523).' 4)-%30 / "/8 -534!.' / BY -IKE ,EE3TAFF 7RITER3EE 42!). 0AGE John Murgai and Lee Rose have helped BrookhavenAdministrator Mollie Wooldridge (left) and Director ofNursing Dustin Schuler, RN, (third from left) keep residentshealthier.BY -IKE ,EE 3TAFF 7RITERLike any good administrator, Brookhaven ExtensiveCare’s Mollie Woolridge is constantly looking for betterways to help her residents.So when she heard about the Prevent Clinic and whatit could do she was sold.“We always want to give the best care for our residentsso anything that’s new and can make their lives better oreasier we want to try,” Wooldridge said. “What they pitchedto us was what we needed because readmissions are anissue and these can prevent some. It can at least let usknow when someone is declining.”Enter John Murgai and Lee Rose with Prevent Clinic- an on-site health monitoring and management firm thatspecializes in identifying patients who are at-risk forhospital readmission.Once those patients are identified, Prevent Clinic focuses3EE 02%6%.4 0AGE 0RESORTED 3TANDARD5 3 0OSTAGE0!) 0ERMIT /KLAHOMA #ITY /K
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/KLAHOMA S .URSING 4IMES42!).#ONTINUED FROM 0AGE reality is that most doctors are goinginto specialty practices. Those whohead to family medicine will stickcloser to more populated areas.The commission will cover asignificant portion of a doctor’s tuitionfor a commitment to be the physicianin a rural area.“Many of the physicians actuallywind up staying in that area after theircommitment is done,” Spanbauer said.“If it weren’t for that a lot of doctorswouldn’t even know there are theseopportunities and how great healthcarecan be in a small community.”Spanbauer and the commissionreview each applicant and decidethe best place to match eachdoctor. Communities routinely send inrequests for physicians to cover theirpopulation.The mission of the PhysicianManpower Training Commission isto enhance medical care in ruraland underserved areas of the stateby administering residency, internshipand scholarship incentive programsthat encourage medical and nursingpersonnel to practice in rural andunderserved areas. Further, PMTC is-ARCH to upgrade the availability of healthcare services by increasing the numberof practicing physicians, nurses andphysician assistants in rural andunderserved areas of Oklahoma.SubsequentlytheOklahomaLegislature has added the responsibilityof a Physician Placement Program,Nursing Student Assistance Program,the FP Resident Rural Program,the Physician Community MatchProgram and the Physician AssistantScholarship Program. Spanbauer saysthe commission is guided in all theprograms by a sense of stewardshipwhich requires that maximum effort,both individual and organizational,be utilized to increase the numberof practicing physicians, nurses andphysician assistants in Oklahoma and,particularly, in rural and underservedareas of the state.“I’ve always had a strong desire togive back in some way which is why Ilove being retired,” Spanbauer said. “Iloved what I did when I was workingbut now it’s like I can give back. WhenI was working I didn’t have as muchtime.”During her career, Spanbauerserved as an EMT and drove anambulance for Children’s Hospital.She also helped start the MediFlightprogram and later spent nearly herentire nursing career at Mercy.“I had an opportunity at that timeto see how spread out everything inOklahoma is,” she said. “We woulddrive to pick up a baby and see howsome of those hospitals barely hadenough to get by. They didn’t have allthe equipment we had in the city totake care of these premature babies.“I’ve always been very passionateabout wanting everybody to be ableto have access to care. It’s a fact thatpeople don’t.”Spanbauer says the commission ischarged with five high-priority goals:1. Work to improve the balance ofphysician manpower distribution in theState of Oklahoma, both by type ofpractice and by geographic location;2. Aid accredited physician trainingfacilities in the establishment ofadditional primary medical care andfamily practice internship and residencytraining programs by sharing in thecost of these programs;3. Assist Oklahoma communitiesin selecting and financing qualifiedmedical and osteopathic interns/residents to participate in the PhysicianCommunity Match Program;4. Assist Oklahoma communities,in any manner possible, in contacting0AGE medical and osteopathic students,interns and residents, or other physicians(inside and outside Oklahoma) whomight wish to practice in Oklahoma;5.WorkwithOklahomacommunities and the leadership ofOklahoma’s nurse training institutionsto provide nurses for underserved areasof the state.“It gets back to what medicine isall about and that’s the relationship thedoctor has with the patient and thecommunity,” Spanbauer said.And that’s how Spanbauer makesa difference for future generations tocome.
0AGE -ARCH /KLAHOMA S .URSING 4IMESCAREERSIN NURSING3 R’S FOR RN: RESPONSIVE, RELIABLE AND RESPONSIBLEBY 6ICKIE *ENKINS 7RITER 0HOTOGRAPHERIt is easy to see why Trisha Brownloves her job. She is the manager ofthe Birth, Labor and Delivery Centerand NICU at Deaconess Hospital. Shehas been a nurse for 20 years buthere at Deaconess for 3 years.Brown became a nurse with thehelp of her mother’s influence. “Mymother was a nurse and when Iwas a teenager, I spend my summersgoing to work with her, volunteeringat the hospital. I fell in love withit and it was contagious. She wasa geriatric nurse and I went to theother end of the spectrum, workingwith babies. I worked in McAlester,OK, Texas, Edmond Renaissance andMoore Medical Center. I’ve alwaysworked in labor and delivery. Iworked in McAlester in 1995 becausethere was a hiring freeze here. Ifyou weren’t a nurse or a tech in ahospital here, you couldn’t get a job.I moved to McAlester and lived thereabout 6 years.”“What do you consider your bestquality as a nurse?” I ask. “I wouldhave to say being compassionate tothe patients, no matter what thesituation might be.” Brown wentto school at Redlands CommunityCollege in El Reno and is graduatingin May from Southwestern with aBachelor’s degree. This week, sheis taking the National Certificationexam on Inpatient Obstetrics. AskingBrown her opinion on what makesa good nurse, she is quick to reply.“Patient compassion and having apassion for what you are doing.”“How would others describe you?”“I am very responsive in emergencysituations. I am a leader and anadvocate for the medical field andnurses and patients,” she replies witha bit pride in her voice.Brown reflects on what inspiresher every day. “Seeing the processof implementing the changes thatdirectly affect the patient care isimportant to me. With the improvedresults, we have satisfied patients,having good outcome, updatingchanged products; therefore, mindfulof positive outlooks.”“What advice would you givesomeone that was going into themedical field?” I ask Brown. “Themedical field has lots of differentareas and it is very versatile. Thereare so many areas you can choosefrom. Put your heart into it andgo where you heart is invested,”she replies. “Follow your heart,” sheadds.“Describe yourself in 3 words,” Itell Brown. “I guess you could saythe 3R’s,” she laughs. “Responsive,Reliable and Responsible,” she says.“Do you have any hobbies?” I askBrown. “I have 4 kids so my hobbyis my kids,” she says with a smile. “Ihave always enjoyed running but lastyear, I had some medical problemsso I am just now getting back intorunning. It’s great exercise and it isa good release for me,” she replies.“It’s my quiet time too,” she adds.“What do you do for fun?” I ask. “Ihave a lot of great friends. I like tospend time with my family and myfriends. Most of my family lives inIllinois so I usually travel to go seethem.”Asking Brown what her favoritething about her job is, she replies, “Ienjoy seeing my patients every day.I like the leadership rounds and Iget to hear about how great the staffis and how skilled the nurses are.We hear positive feedback from ourpatients all the time. I work withsome great people.”“What is your typical day?” I askBrown. “I get here pretty early. Imake rounds, check on staff, takecare of their needs, check with floorsupervisor, check calendar, and do alot of follow up. In fact, most ofmy time is spent doing follow up.We just got a new security systemfor our nursery unit. It is very nice,a state-of-the-art system. It’s calledHugs and Kisses and it features thesafety between the mother and thebaby. It bonds the mother and babywith a special relationship. Here at#ONTINUED ON NEXT PAGE
/KLAHOMA S .URSING 4IMES02%6%.4#ONTINUED FROM 0AGE on continued monitoring until thepatient’s prognosis improves.Patients in the Prevent Clinic largely those with congestive heartfailure - are examined once theybegin the program and are thenseen weekly.“We know from the start if theyare at risk and what to look forand they are monitored regularly byadditional people,” Wooldridge said.“And it’s people that learn to knowthem.”Brookhaven specializes in nursingcare. And Dustin Schuler is theDirector of Nursing.From a clinical standpoint, hewas all for using Prevent Clinic.“It was just giving us an extratool to care for the residents,” hesaid. “For a long time with skilledcare you had to send them out tothe hospital to get any kind oftesting done. It was just a greatoption to help the residents.”Wooldridgemonitoredthenumbers and liked what she saw.“When did this work? From thevery beginning,” she said.Prevent Clinic’s ultrasounds anddopplers are also at Schuler and hisstaff’s disposal.“The technology the mobile x-rayhas is pretty high-end,” he said.“Once I got the nurses onboard 100 percent it was definitelyadditional peace of mind,” hecontinued.“I think they like it, knowingthere’s another test they could run.It gives them something else wecan go to. They realize sending theresident to the hospital isn’t goodfor them and it isn’t good for thefamily.”Healthcarereformhaspinpointed hospital readmissions asa key area for improving carecoordination and achieving potentialsavings. Medicare patients have thelargest share of total readmissionsand the highest associated costs forreadmission.-ARCH According to the U.S. Departmentof Health and Human Services’Agency for Healthcare Research andQuality, there were approximately 3.3million adult hospital readmissionsin the U.S. in 2011. That resulted in 41.3 billion in additional hospitalcosts.For Medicare patients, theNo. 1 condition resulting inreadmission was congestive heartfailure which was responsible for134,500 readmissions. Septicemiaand pneumonia were the nexttwo conditions responsible for themajority of readmissions. These threeconditions alone resulted in 4.3billion in hospital costs.At a time when hospitals aretrying to lower a patient’s lengthof stay, patients are unfortunatelycoming home sicker than before.The thinking is that objectivehemodynamic data can lead to betteroutcomes and ultimately a lowercost of care.“It’s an added plus on our sidebecause we do something nobodyelse does,” Wooldridge said.Initially, Wooldridge admits herstaff was leary of taking on a newprocess. But Murgai quickly wonthem over.“Trying new things is alwaysdifficult because you don’t wantto add more work to alreadyoverworked people,” Wooldridge said.“But I think this helps them inso many different ways. It’s notadditional work it’s additional eyeson our residents. More people cansee a decline or an improvement.”Murgai said Brookhaven is thefirst facility to use Prevent Clinic’soptimized program.“We test every patient here,”Murgai said. “Every patient getstested that way nothing fallsthrough the cracks for them.”And the cracks are wherepatients can slip through, leadingthem back to the hospital.“Hospitals are where sick peopleare and people get sicker sometimeswhen they go there,” Rose said.That’s why keeping them out ofthe hospital is the best prescription.#HECK /UT /KLAHOMA S"%34 .URSING AND (EALTH CARE JOBSWWW OKCNURSINGTIMES COM0AGE Trisha Brown, RN lives by the philosophy: ‘I strive to be the best I canbe.’the NICU, we are constantly lookingfor new ways to improve our hospitalto help our community.”Brown ends with these words thatshe seems to live by, “My philosophyis that whether it be your first babyor your tenth baby, the mother has tohave a good experience. It is a daythat that a mother will remember forthe rest of her life. I strive to be thebest I can be.”
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0AGE -ARCH IN 0ROCEEDS FROM3PEAKER S "ALL TO "ENElT #(&'IFT WILL IMPROVE THE HEALTH OF /KLAHOMA S CHILDRENTHROUGH RESEARCH EDUCATION AND CLINICAL CARE/KLAHOMA S .URSING 4IMES.URSES GIVE EXTRA 4,#TO THE BABIES IN THE .)#5AT EACONESS (OSPITALFrom left to right: KathyMcCracken, executivedirector, Children’sHospital Foundation;Terrence Stull, ScientificDirector, Children’sHospital Foundation;Speaker of the House,Rep. Jeff Hickman.Children’s HospitalFoundation (CHF) wasthe designated charityfor the 2015 OklahomaSpeaker’s Ball. Speakerof the House, Rep. JeffHickman, presented proceeds from the event, totaling 25,000, to thefoundation during Sunday’s event.“We are deeply humbled and so excited to have been selected as the2015 Speaker’s Ball charity of choice,” said Kathy McCracken, executivedirector, Children’s Hospital Foundation. “We believe that by partneringwith Oklahoma’s legislators, we can truly make a difference in thefuture of health care for Oklahoma’s children.”The Speaker’s Ball is an annual event designed to build camaraderieamong the members of the legislature. This year’s event was held atthe National Cowboy and Western Heritage Museum.photo by Vickie JenkensNurses in the NICU show the Sleep Sack Swaddle that is given to each babyborn in the nursery at Deaconess Hospital.BY 6ICKIE *ENKINSThe Birth Center at Deaconesshospital features eighteen elegantlyappointed single-room maternitysuites that allow mothers to sharethe birth experience with family ina beautiful, home-like atmosphereby staying in the same roomfor labor, delivery, recovery andpostpartum care. Nine-bed level-IINICU provides excellent care forbabies who need additional medicalattention. The NICU is staffedby registered nurses and boardcertified neonatologists.Oneon-one nurse to patient ratiothroughout the entire labor anddelivery process.DeaconessHospitalinOklahoma City is known for theiroutstanding doctors and nurses.Picture: From L-R: Tanya Bogan,RN, Yvonne Silberman RNC-OB,Jonna Criscuoli, RN and SupervisorTrisha Brown, RNC-OB show theSleep Sack Swaddle that eachnewborn receives at Deaconess.The Sleep Sack is a Safe SleepInitiative that was introducedFebruary 14, 2014.Here are some Safe SleepSwaddle Tips to ensure a safesleep for your baby. Always placebaby to sleep on his or her backat naptime and night time. Usea crib that meets current safetystandards with a firm mattressthat fits snugly and is coveredwith only a tight-fitting cribsheet.Remove all blankets,comforters and toys from yourbaby’s sleep area (this includesloose blankets, bumpers, pillowsand positioners). The AmericanAcademy of Pediatrics suggestsusing a wearable blanket insteadof loose blankets to keep yourbaby warm.Offer a pacifierwhen putting baby to sleep. Ifbreastfeeding, introduce pacifierafter one month or afterbreastfeeding has been established.Breastfeed, if possible, but when3EE .)#5 NEXT PAGE
/KLAHOMA S .URSING 4IMES-ARCH .)#5#ONTINUED FROM 0AGE finished, put your baby back tosleep in his or her separate safesleep area alongside your bed.Room share, but don’t bed share.Bed sharing can put a child atrisk of suffocation. Never putyour baby to sleep on any softsurface (adult beds, sofas, chairs,water beds, quilts, sheep skins etc.)Never dress your baby too warmlyfor sleep. Never allow anyone tosmoke around your baby.Deaconess Hospital is proudof their new Hugs and KissesSecurity System as of January2015.The Hugs system offersthe reliability that you and yourstaff can depend on every dayto keep your infants safe. TheHugs tag attaches in seconds andis automatically enrolled in thesoftware. Protection can start rightin the delivery room. The Hugssystem requires no manual checksof infant tags or other devices tomake sure they’re working. TheHugs system software -continuallymonitors the status of all devices,and will generate an alarm ifsomething goes wrong. There is anautomatic mother/infant matching.With the Kisses option, the Hugssystem automatically confirms thatthe right baby is with the rightmother. There are no buttons topush and no numbers to match.DeaconessHospitaloffersCertified Lactation Consultants thatround on all post-partum andNICU mothers. Here you will findNeonatologists and Neonatal NursePractitioners on call 24/7 for highrisk deliveries.0AGE FACEBOOK FUNNIES - SHARED - JOIN US!#HECK /UT /KLAHOMA S"%34 .URSING AND (EALTH CARE JOBSWWW OKCNURSINGTIMES COMOklahoma’s Nursing TimesHospice Directory- another free service provided by Oklahoma’s Nursing Times Alpha Hospice:7512 N Broadway Ext., suite 312Okc, 405-463-5695 Keith Ruminer/volunteer coordinator/chaplainAlleve Hospice: 405-605-7787Autumn Bridge Hospice:405-440-2440Co
of a Physician Placement Program, Nursing Student Assistance Program, the FP Resident Rural Program, the Physician Community Match Program and the Physician Assistant Scholarship Program. Spanbauer says the commission is guided in all the programs by a sense of stewardship which requires that maximum effort, both individual and organizational,
