The document is a newsletter from Tséhootsooí Medical Center discussing various topics related to improving healthcare services. It discusses 1) expanding cancer care services by creating a Cancer Care Case Manager position to improve coordination of care between facilities; 2) celebrating National Medical Laboratory Week and honoring laboratory professionals; 3) Tséhootsooí Medical Center's second anniversary of becoming a self-determined healthcare facility under the Indian Self-Determination and Education Assistance Act; and 4) a healing training called Gathering of Native Americans that incorporates Native cultural values to address issues like substance abuse and suicide.
Living with and beyond cancer: The improvement story so farNHS Improvement
This publication features the learning and improvement stories from the assesment and care planning; adult test communities who have piloted elements of care and support to inform potential new models of care (Published July 2010).*
NYC Hotel Investments Latest Trends - Hospitality Investments and Development...Hospitality Investments
Hospitality Investments and Developments, a key player in the New York City hospitality industry, focuses on that sector's latest trends in its most recent report – "NYC Hotels: Trending in Style." This dynamic marketplace with its strong and consistent performance over time is always a favorite with local, national, and international investors. Hotel Investors NYC
This document discusses trade patterns and economic integration in the Pacific Basin region. It outlines that the Pacific Basin is becoming an increasingly important development region globally due to recent successful economic models and the role of trade. It then provides details on the trade policies and patterns of major countries in the region, including China, Japan, Australia, New Zealand, and various Pacific island nations. Challenges in the region include poverty, inequality, and lack of infrastructure and resources in many Pacific island countries. Opportunities for further economic integration are discussed.
US Government record shows Senator Grace Poe dropping US citizenship in 2012raissarobles
Penn-Ohio Transportation, LLC filed a notice of exemption to acquire rail lines and operating rights covering approximately 35.7 miles of track from Eastern States Railroad, LLC and Columbiana County Port Authority. Penn-Ohio intends to continue having Youngstown & Southeastern Railway Company operate the line or lease it to a new operator. The transaction may be completed on or after August 12, 2012. The notice also lists individuals who renounced their U.S. citizenship and provides quarterly expatriation information as required by law.
Doc. Bílková se v rámci své přednášky podělila o zkušenosti s účastí na 5., 6. a 7. RP EU, hovořila o podmínkách vědy v Čechách a v Evropě, o výhodách, ale i nevýhodách výzkumu realizovaného ve spolupráci se zahraničními partnery.
Přednáška byla prezentována v rámci klubu SpinUp (http://spinup.upce.cz)
Easynet is an international managed networks, hosting, and telepresence company that provides managed hosting solutions. They have over 10 years of experience supporting over 500 customers on 5000 devices. Their solutions include global networks, data center hosting, traffic management, security, virtualization, backup services, and a global help desk for support. Easynet takes a consultative approach to design customized hosting environments that meet each customer's specific needs and goals.
This document appears to be notes related to preparing a home for move out. It includes the address of the home and indicates that it is ready for the occupants to move out. No other significant details are provided in the brief document.
Living with and beyond cancer: The improvement story so farNHS Improvement
This publication features the learning and improvement stories from the assesment and care planning; adult test communities who have piloted elements of care and support to inform potential new models of care (Published July 2010).*
NYC Hotel Investments Latest Trends - Hospitality Investments and Development...Hospitality Investments
Hospitality Investments and Developments, a key player in the New York City hospitality industry, focuses on that sector's latest trends in its most recent report – "NYC Hotels: Trending in Style." This dynamic marketplace with its strong and consistent performance over time is always a favorite with local, national, and international investors. Hotel Investors NYC
This document discusses trade patterns and economic integration in the Pacific Basin region. It outlines that the Pacific Basin is becoming an increasingly important development region globally due to recent successful economic models and the role of trade. It then provides details on the trade policies and patterns of major countries in the region, including China, Japan, Australia, New Zealand, and various Pacific island nations. Challenges in the region include poverty, inequality, and lack of infrastructure and resources in many Pacific island countries. Opportunities for further economic integration are discussed.
US Government record shows Senator Grace Poe dropping US citizenship in 2012raissarobles
Penn-Ohio Transportation, LLC filed a notice of exemption to acquire rail lines and operating rights covering approximately 35.7 miles of track from Eastern States Railroad, LLC and Columbiana County Port Authority. Penn-Ohio intends to continue having Youngstown & Southeastern Railway Company operate the line or lease it to a new operator. The transaction may be completed on or after August 12, 2012. The notice also lists individuals who renounced their U.S. citizenship and provides quarterly expatriation information as required by law.
Doc. Bílková se v rámci své přednášky podělila o zkušenosti s účastí na 5., 6. a 7. RP EU, hovořila o podmínkách vědy v Čechách a v Evropě, o výhodách, ale i nevýhodách výzkumu realizovaného ve spolupráci se zahraničními partnery.
Přednáška byla prezentována v rámci klubu SpinUp (http://spinup.upce.cz)
Easynet is an international managed networks, hosting, and telepresence company that provides managed hosting solutions. They have over 10 years of experience supporting over 500 customers on 5000 devices. Their solutions include global networks, data center hosting, traffic management, security, virtualization, backup services, and a global help desk for support. Easynet takes a consultative approach to design customized hosting environments that meet each customer's specific needs and goals.
This document appears to be notes related to preparing a home for move out. It includes the address of the home and indicates that it is ready for the occupants to move out. No other significant details are provided in the brief document.
Using FlickrCC to find, save and credit imagesRebecca Johnson
This document provides instructions for finding media on Flickr that is licensed for commercial use, downloading the media and attributing the creator using FlickrCC. The steps include searching for and filtering on Creative Commons licensed content, viewing the licensing details, downloading the media, and copying the attribution text to credit the creator when using the media.
The document provides an overview of the organization Free The Children and its work. It summarizes that Free The Children started in 1995 as a small group of 12-year-olds and has since grown into a global movement engaging millions of youth. It has built schools in Haiti, health clinics in Kenya, and reaches thousands through educational programs. Free The Children's model focuses on empowering youth and transforming communities through education both internationally and domestically.
1) The film follows newlyweds Antonio and Abelle who struggle financially in their coastal home in California.
2) Antonio borrows money from the dangerous Costello gang to make ends meet but cannot pay it back. He is cornered by the gang and murdered.
3) When Abelle learns of Antonio's death, she commits suicide with his signature revolver, unable to go on without him.
The document provides a plot synopsis and character descriptions for the film "California Confidential" along with notes on its opening sequence, titles, creative techniques used, and distribution plans.
- Profits for Spanish credit institutions dropped 23.6% in Q1 2016 due to low interest rates, while troubled assets fell 40% since 2013. Spain has a similar banking sector concentration level to the Eurozone based on an index.
- Pension fund assets as a percentage of GDP increased in OECD countries from 30.1% in 2000 to 50% in 2015, though in Spain it is only 14.3%.
- Global IPOs dropped 32.8% in 2016 due to Brexit, US election results, and commodity volatility. Around 60% of deals were in the Asia-Pacific region, focused on industry and technology. Spain had just 3 IPOs in 2016 compared to 12 in 2015
Energy 60% Business 40% Product James April 1 2010James Heppner
The document discusses key health issues like cardiovascular disease, cancer, diabetes and how they relate to cellular health. It emphasizes that proper nutrition is essential to maintaining healthy cells and fighting free radicals. It then discusses various Usana products that provide antioxidants and other nutrients to support cellular health, digestive health and energy levels, including Rev3 energy drinks. Testimonials from Usana distributors are also included.
A 3ª vara criminal do Ministério Público Federal (MPF), com sede no Rio de Janeiro, abriu denúncia contra o empresário brasileiro Eike Batista por crimes contra o mercado de capitais e pediu o bloqueio de R$ 1,5 bilhão em bens. Se considerado culpado, ele pode ser condenado a até 13 anos de prisão.
Creating Value Through Discovery in South AmericaLara_Exploration
Lara Exploration is a Canadian mineral exploration company operating in South America using a prospect generator model. It has a diverse portfolio of projects including copper, gold, phosphate and coal located in Brazil, Peru, Chile and Colombia. Notable projects include the Liberdade copper discovery in Brazil being advanced with partner Codelco, and the Maravaia copper project in Brazil being developed towards production by partner Tessarema. Lara is funded to continue acquiring and advancing projects through joint ventures and project sales during the current downturn in commodity prices.
O documento descreve a história e estrutura do Partido Progressista (PP) no Brasil. O PP originou-se da fusão de outros partidos políticos e atualmente defende princípios como a solidariedade, justiça e inclusão social. O estatuto do partido estabelece suas diretrizes, órgãos, filiação, finanças e código de ética.
This document discusses the benefits of starting a home-based business with USANA, which includes a network marketing opportunity selling nutritional supplements and skincare products. It outlines some of the financial and health challenges facing people today and how a USANA business can provide flexibility, income potential, and access to high-quality products. The document promotes USANA's products and business by highlighting endorsements from athletes, doctors, and its focus on science-based nutrition.
O documento resume as principais ameaças aos direitos dos trabalhadores brasileiros decorrentes do afastamento da presidente Dilma Rousseff, incluindo cortes em ministérios, direitos trabalhistas, saúde e educação, além de criticar o histórico de resistência da elite econômica à democracia e participação popular no Brasil.
Lara Exploration is a Canadian mineral exploration company operating in South America with a prospect generator business model. It has acquired, discovered, and sold various mineral deposits. Its current portfolio includes precious metal, base metal, industrial mineral, agricultural commodity, and coal projects at various stages of development. Key projects include the Liberdade copper-gold discovery in Brazil (in partnership with Codelco), the Curionopolis copper project in Brazil (with Tessarema), and gold projects in Peru (with partners Hochschild and Redzone). Lara is actively acquiring and developing new projects to create value through the current downturn in commodity prices.
The document is a status report for home #259 indicating that it is ready for a resident to move out. It contains repetitive text stating that the home is ready for move out. No other context or details are provided about the home or move out.
This document discusses the benefits of starting a home-based business with USANA, which includes a network marketing opportunity selling nutritional supplements and skincare products. It outlines some of the financial challenges many people face today and how a USANA business can provide flexibility, income potential, and tax advantages. The document also promotes USANA's products by highlighting their quality and effectiveness as supported by scientific research, endorsements from doctors and athletes, and product guarantees.
Astutia Capital is a venture capital firm based in Munich, Germany that invests in technology and consumer internet companies. It has backed companies such as Urbanara, Fashionette, and MySportworld. Astutia focuses on investments in Germany, Austria and Switzerland and targets companies in the growth stage with proven business models and revenues. The firm was founded in 2006 and has a team of 5 investment professionals led by partners Benedict Rodenstock and Bernd Stadlwieser.
Should Asian Americans be Active in U.S. Politics?8020NAAEF
This document discusses whether Asian Americans should be active in US politics and outlines the case for political involvement. It notes major issues facing Asian Americans like unfair admissions and career advancement hurdles. The root cause is a lack of political clout. Successful political groups like Jewish Americans achieved equality through political actions like voting and donations. The 80-20 initiative is presented as the best vehicle for Asian Americans to develop political power through block voting and fundraising. It has had some successes in influencing policies and apologies. Donations to its self-funding campaign are encouraged to empower the community long-term.
Este documento presenta la Guía Técnica Colombiana 180 de 2008 sobre Responsabilidad Social. La guía fue desarrollada por el Instituto Colombiano de Normas Técnicas y Certificación (ICONTEC) y ratificada por su Consejo Directivo. El documento incluye el prólogo de la guía y lista las empresas que participaron en su desarrollo a través del Comité Técnico 180 de Responsabilidad Social.
The document provides guidance for reading and exploring a science fiction book. It suggests identifying the major ideas and premises of the story before, during, and after reading. It prompts keeping a list of questions about characters, events, and problems that reflect current trends. It also recommends thoroughly researching one issue and choosing a project from various options to best fit one's learning style and the ideas in the book. A rubric is included to evaluate science fiction book projects.
Este documento es una hoja de vida para el Fondo Nacional de Prestaciones Sociales del Magisterio. Contiene secciones para ingresar datos personales como nombre, documento de identidad, nacionalidad, libreta militar, sexo, estado civil y contacto. También incluye una sección para detallar la formación académica e inscripción a servicios de salud. Por último, solicita identificar a otros beneficiarios como cónyuge, hijos o padres.
Stratified pathways of care...from concept to innovationNHS Improvement
This document summarizes work done by NHS Improvement to redesign care pathways for cancer patients after initial treatment. It focuses on pathways for breast, colorectal, lung, and prostate cancers. The traditional medical model of long-term follow-up is replaced with a stratified model that classifies patients based on needs. Lower-risk patients are supported to self-manage, while higher-risk patients receive professional-led care. Sites tested various interventions like holistic needs assessments, education events, and remote monitoring. Early results found the stratified model improved patient experience and outcomes while reducing costs compared to traditional follow-up.
Accountable care organizations (ACOs) are new healthcare delivery models mandated by the Affordable Care Act that focus on primary care but also affect oncologists. Oncologists cannot lead ACOs but can join them. Few quality measures outlined for ACOs relate specifically to cancer care. The potential savings in oncology through ACOs will depend on how incentive structures are designed and how much oncologists are allowed to provide cost-effective care while still prioritizing patients. However, ACOs may put pressure on oncologists to choose between cost savings for the ACO or high-quality cancer care for patients.
Using FlickrCC to find, save and credit imagesRebecca Johnson
This document provides instructions for finding media on Flickr that is licensed for commercial use, downloading the media and attributing the creator using FlickrCC. The steps include searching for and filtering on Creative Commons licensed content, viewing the licensing details, downloading the media, and copying the attribution text to credit the creator when using the media.
The document provides an overview of the organization Free The Children and its work. It summarizes that Free The Children started in 1995 as a small group of 12-year-olds and has since grown into a global movement engaging millions of youth. It has built schools in Haiti, health clinics in Kenya, and reaches thousands through educational programs. Free The Children's model focuses on empowering youth and transforming communities through education both internationally and domestically.
1) The film follows newlyweds Antonio and Abelle who struggle financially in their coastal home in California.
2) Antonio borrows money from the dangerous Costello gang to make ends meet but cannot pay it back. He is cornered by the gang and murdered.
3) When Abelle learns of Antonio's death, she commits suicide with his signature revolver, unable to go on without him.
The document provides a plot synopsis and character descriptions for the film "California Confidential" along with notes on its opening sequence, titles, creative techniques used, and distribution plans.
- Profits for Spanish credit institutions dropped 23.6% in Q1 2016 due to low interest rates, while troubled assets fell 40% since 2013. Spain has a similar banking sector concentration level to the Eurozone based on an index.
- Pension fund assets as a percentage of GDP increased in OECD countries from 30.1% in 2000 to 50% in 2015, though in Spain it is only 14.3%.
- Global IPOs dropped 32.8% in 2016 due to Brexit, US election results, and commodity volatility. Around 60% of deals were in the Asia-Pacific region, focused on industry and technology. Spain had just 3 IPOs in 2016 compared to 12 in 2015
Energy 60% Business 40% Product James April 1 2010James Heppner
The document discusses key health issues like cardiovascular disease, cancer, diabetes and how they relate to cellular health. It emphasizes that proper nutrition is essential to maintaining healthy cells and fighting free radicals. It then discusses various Usana products that provide antioxidants and other nutrients to support cellular health, digestive health and energy levels, including Rev3 energy drinks. Testimonials from Usana distributors are also included.
A 3ª vara criminal do Ministério Público Federal (MPF), com sede no Rio de Janeiro, abriu denúncia contra o empresário brasileiro Eike Batista por crimes contra o mercado de capitais e pediu o bloqueio de R$ 1,5 bilhão em bens. Se considerado culpado, ele pode ser condenado a até 13 anos de prisão.
Creating Value Through Discovery in South AmericaLara_Exploration
Lara Exploration is a Canadian mineral exploration company operating in South America using a prospect generator model. It has a diverse portfolio of projects including copper, gold, phosphate and coal located in Brazil, Peru, Chile and Colombia. Notable projects include the Liberdade copper discovery in Brazil being advanced with partner Codelco, and the Maravaia copper project in Brazil being developed towards production by partner Tessarema. Lara is funded to continue acquiring and advancing projects through joint ventures and project sales during the current downturn in commodity prices.
O documento descreve a história e estrutura do Partido Progressista (PP) no Brasil. O PP originou-se da fusão de outros partidos políticos e atualmente defende princípios como a solidariedade, justiça e inclusão social. O estatuto do partido estabelece suas diretrizes, órgãos, filiação, finanças e código de ética.
This document discusses the benefits of starting a home-based business with USANA, which includes a network marketing opportunity selling nutritional supplements and skincare products. It outlines some of the financial and health challenges facing people today and how a USANA business can provide flexibility, income potential, and access to high-quality products. The document promotes USANA's products and business by highlighting endorsements from athletes, doctors, and its focus on science-based nutrition.
O documento resume as principais ameaças aos direitos dos trabalhadores brasileiros decorrentes do afastamento da presidente Dilma Rousseff, incluindo cortes em ministérios, direitos trabalhistas, saúde e educação, além de criticar o histórico de resistência da elite econômica à democracia e participação popular no Brasil.
Lara Exploration is a Canadian mineral exploration company operating in South America with a prospect generator business model. It has acquired, discovered, and sold various mineral deposits. Its current portfolio includes precious metal, base metal, industrial mineral, agricultural commodity, and coal projects at various stages of development. Key projects include the Liberdade copper-gold discovery in Brazil (in partnership with Codelco), the Curionopolis copper project in Brazil (with Tessarema), and gold projects in Peru (with partners Hochschild and Redzone). Lara is actively acquiring and developing new projects to create value through the current downturn in commodity prices.
The document is a status report for home #259 indicating that it is ready for a resident to move out. It contains repetitive text stating that the home is ready for move out. No other context or details are provided about the home or move out.
This document discusses the benefits of starting a home-based business with USANA, which includes a network marketing opportunity selling nutritional supplements and skincare products. It outlines some of the financial challenges many people face today and how a USANA business can provide flexibility, income potential, and tax advantages. The document also promotes USANA's products by highlighting their quality and effectiveness as supported by scientific research, endorsements from doctors and athletes, and product guarantees.
Astutia Capital is a venture capital firm based in Munich, Germany that invests in technology and consumer internet companies. It has backed companies such as Urbanara, Fashionette, and MySportworld. Astutia focuses on investments in Germany, Austria and Switzerland and targets companies in the growth stage with proven business models and revenues. The firm was founded in 2006 and has a team of 5 investment professionals led by partners Benedict Rodenstock and Bernd Stadlwieser.
Should Asian Americans be Active in U.S. Politics?8020NAAEF
This document discusses whether Asian Americans should be active in US politics and outlines the case for political involvement. It notes major issues facing Asian Americans like unfair admissions and career advancement hurdles. The root cause is a lack of political clout. Successful political groups like Jewish Americans achieved equality through political actions like voting and donations. The 80-20 initiative is presented as the best vehicle for Asian Americans to develop political power through block voting and fundraising. It has had some successes in influencing policies and apologies. Donations to its self-funding campaign are encouraged to empower the community long-term.
Este documento presenta la Guía Técnica Colombiana 180 de 2008 sobre Responsabilidad Social. La guía fue desarrollada por el Instituto Colombiano de Normas Técnicas y Certificación (ICONTEC) y ratificada por su Consejo Directivo. El documento incluye el prólogo de la guía y lista las empresas que participaron en su desarrollo a través del Comité Técnico 180 de Responsabilidad Social.
The document provides guidance for reading and exploring a science fiction book. It suggests identifying the major ideas and premises of the story before, during, and after reading. It prompts keeping a list of questions about characters, events, and problems that reflect current trends. It also recommends thoroughly researching one issue and choosing a project from various options to best fit one's learning style and the ideas in the book. A rubric is included to evaluate science fiction book projects.
Este documento es una hoja de vida para el Fondo Nacional de Prestaciones Sociales del Magisterio. Contiene secciones para ingresar datos personales como nombre, documento de identidad, nacionalidad, libreta militar, sexo, estado civil y contacto. También incluye una sección para detallar la formación académica e inscripción a servicios de salud. Por último, solicita identificar a otros beneficiarios como cónyuge, hijos o padres.
Stratified pathways of care...from concept to innovationNHS Improvement
This document summarizes work done by NHS Improvement to redesign care pathways for cancer patients after initial treatment. It focuses on pathways for breast, colorectal, lung, and prostate cancers. The traditional medical model of long-term follow-up is replaced with a stratified model that classifies patients based on needs. Lower-risk patients are supported to self-manage, while higher-risk patients receive professional-led care. Sites tested various interventions like holistic needs assessments, education events, and remote monitoring. Early results found the stratified model improved patient experience and outcomes while reducing costs compared to traditional follow-up.
Accountable care organizations (ACOs) are new healthcare delivery models mandated by the Affordable Care Act that focus on primary care but also affect oncologists. Oncologists cannot lead ACOs but can join them. Few quality measures outlined for ACOs relate specifically to cancer care. The potential savings in oncology through ACOs will depend on how incentive structures are designed and how much oncologists are allowed to provide cost-effective care while still prioritizing patients. However, ACOs may put pressure on oncologists to choose between cost savings for the ACO or high-quality cancer care for patients.
Meeting the challenge together... delivering care in the most appropriate set...NHS Improvement
Meeting the challenge together... delivering care in the most appropriate setting (October 2008). This document has been designed to support the pilot sites (now starting to test new ideas working with partners in primary care and social care) but will also be of interest to other organisations attempting to reform inpatient care (Published October 2008).
The UCSF Cancer Center provides personalized cancer treatment and conducts clinical trials to advance progress against cancer. A new cancer research building has opened to facilitate collaborative, interdisciplinary research. The Center brings together leading scientists and physicians to translate discoveries into improved prevention, detection, and treatment matched to individual patients.
This document highlights the work being led by NHS Improvement to support the delivery of the National Cancer Survivorship Initiative (NCSI) vision for those living with and beyond cancer. This survivorship agenda is a priority which was outlined in the Cancer Reforms Strategy (2007) and Improving Outcomes: A Strategy For Cancer (2011)
(Published May 2011)
Magnet recognition is the highest award a hospital can receive for outstanding nursing services, by creating an environment that attracts and rewards outstanding nurses.
Doctors' communication skills significantly impact patient satisfaction. A new standardized clinical skills exam will evaluate doctors' abilities to communicate effectively with patients through open-ended questions, eye contact, active listening, and clear responses. While clinical outcomes are important, studies show patient satisfaction depends more on how the doctor interacts with the patient. Doctors must adopt a customer service approach and make patients feel important through empathetic, humble interactions to improve compliance and referrals.
Managing central venous access devices in cancer patients a practice guidelin...Clinica de imagenes
This document provides a summary of a practice guideline for managing central venous access devices (CVADs) in cancer patients. The guideline was developed by reviewing existing literature and clinical practice guidelines to make recommendations on: whether CVADs should be locked with heparin or saline, the volume and strength of locking solution, locking frequency, and type of catheter. The review found limited evidence to directly answer these questions for cancer patients. As such, the guideline aims to standardize CVAD management protocols across cancer care settings based on the best available evidence and expert consensus, in order to improve patient care and outcomes.
Breakout 2.3 Sue Nunn - A patient’s Experience NHS Improvement
Breakout 2.3 Sue Nunn - A patient’s Experience
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme
This document provides a summary of a presentation about palliative care efforts in Delaware. It discusses the difference between palliative care and hospice, current palliative care programs available in Delaware, and opportunities for expansion. Key points include:
- Palliative care aims to improve quality of life by relieving symptoms for patients with serious illnesses, while hospice focuses on the last 6 months of life after curative treatments stop.
- Delaware has several palliative care programs in hospitals, home care, and long-term care settings, but access could be expanded by having palliative specialists in all hospitals and outside of hospitals.
- Opportunities remain to improve palliative care in Delaware through increasing the number of board
This document summarizes recent developments at Nantucket Cottage Hospital. It introduces two new physicians, Drs. Mary Murray and Margaret Koehm, and describes new programs and services including digital mammography, a women's health program, and an expanded obstetrics and gynecology suite. It also discusses the hospital's accreditation by the College of American Pathologists and goals to expand facilities and services to provide exceptional healthcare to the community.
The Dynamic State of Physician-Hospital Alignment: Using Collaboration and St...Amy MacNulty
This document summarizes a presentation on physician-hospital alignment. It discusses the imperative for alignment given changes in the healthcare industry, including issues like physician shortages and aging. It outlines strategies that can strengthen alignment, such as collaboration, engagement, and ensuring goals are aligned. It also discusses perceptions of existing relationships between hospitals and physicians and how perceptions sometimes differ between roles. The presentation aims to help organizations recognize drivers of alignment and create physician alignment plans.
This document discusses interprofessional rounding teams and strategies to improve teamwork and communication. It provides background on how interprofessional healthcare teams can improve patient outcomes. Checklists, care pathways, and interprofessional education are presented as potential solutions. Checklists have been shown to reduce medical errors and mortality. Care pathways, while challenging to implement, can standardize care and reduce prescribing errors. Brief interprofessional education sessions have been found to improve collaboration attitudes and skills among professionals. Overall, the document advocates for interprofessional rounding teams and strategies to enhance communication and teamwork across disciplines.
From testing to spread: Sharing the knowledge and learning from organisations...NHS Improvement
From testing to spread:Sharing the knowledge and learning from organisations spreading the Winning Principles - case studies
The spread case studies illustrate many of these factors and provide an opportunity for sharing ‘working’ knowledge and learning experiences with the intention to promote further spread, adoption and action of good practice across the country and benefit more patients (Published July 2010).
International Medical Cannabis Policy - Boaz Watchel (Israel) SafeAccess
Israel has had a medical cannabis program since the 1990s that has expanded significantly. It is now one of the largest in the world, serving over 10,000 patients through licensed producers. The program was initially run through the Ministry of Health but is now managed by a new National Medical Cannabis Agency. This allows for standardized distribution to pharmacies and home delivery. Research on medical cannabis in Israel has shown promising results for reducing symptoms of PTSD and other conditions. The program provides patients access to strains of standardized quality within a regulated framework.
This document contains two summaries of presentations on psycho-oncology and the role of family in cancer treatment:
1. The first presentation discusses a "Family Lounge" at a radiotherapy department where patients, families, and staff meet weekly for 45 minutes. This community meeting serves as emotional support for coping with crisis, and models open communication. It reveals family dynamics and allows caregivers to seek care.
2. The second presentation studied the effects of weekly psychotherapy on emotional and physical symptoms in patients undergoing radiotherapy. Patients receiving psychotherapy experienced reduced distress, anxiety, depression, and improved compliance compared to the control group. Psychotherapy may decrease symptoms associated with radiotherapy.
The winning principles - transforming inpatient care programme for cancer pat...NHS Improvement
The Winning Principles- Transforming Inpatient Care Programme for Cancer Patients. (July 2008) By bringing together all the test sites experience and learning, FOUR WINNING PRINCIPLES have been identified that if applied can make a significant difference to the management and experience of the inpatient pathway.
1) The document discusses whether oncologists should routinely discuss fertility preservation options with cancer patients of childbearing age.
2) It reviews guidelines published in 2006 by the American Society of Clinical Oncology recommending that oncologists address potential treatment-induced infertility.
3) However, several national surveys since 2006 found that oncologists are still not routinely discussing fertility risks or referring patients to specialists.
The document summarizes the rehabilitation services provided at the Rehabilitation Center at Santa Clara Valley Medical Center. It highlights the story of Minerva Rodriguez Machado, a 36-year-old stroke patient who is relearning daily living skills with the help of a rehabilitation team. The team is helping her regain independence and strength, training her family to assist her. The Center cares for hundreds of patients each year and will be moving to a new, state-of-the-art facility funded by public dollars but still requiring additional fundraising support.
Similar to TSÉHOOTSOOÍ MEDICAL CENTER - Newsletter (20)
The document provides an agenda and background information for the 2007 Navajo Nation Inaugural event held on January 9, 2007 in Window Rock, Navajo Nation, Arizona. The 3-page document includes welcoming remarks, biographies of Dr. Joe Shirley Jr. who was re-elected as Navajo Nation President and Ben Shelly who was elected as Navajo Nation Vice President. It also lists the planned events and activities for the inauguration ceremony and provides a list of members of the 21st Navajo Nation Council.
Monument Valley Brochure - Design by Cal Nez DesignCal Nez Design
This document is a map of Monument Valley Navajo Tribal Park that labels several points of interest and landmarks within the park. Some of the key landmarks labeled on the map include Mitchell Butte, Gray Whiskers, Big Indian, Castle Butte, Bear & Rabbit, Stagecoach, The King on his Throne, and Brigham's Tomb. The map also shows paved roads, hiking trails, guided tour roads, and locations of the visitor center complex, campgrounds, restaurants, and gas stations within the park.
Monument Valley Brochure - Design by Cal Nez DesignCal Nez Design
Monument Valley is a scenic area located on the Arizona-Utah border within the Navajo Nation. It is known for its large sandstone buttes and mesas that have been sculpted over millions of years by wind and water erosion. The area has been inhabited for centuries and many movies, such as Stagecoach and The Searchers, have been filmed there, highlighting its dramatic landscapes. Today, Monument Valley offers visitors the opportunity to experience and learn about the area's natural beauty and Navajo culture through guided tours.
Indigenous communities have developed innovative solutions to challenges faced in their environments for generations, with examples including sustainable agricultural practices, natural medicines, and architectural designs well-suited for local conditions. While indigenous innovations were traditionally passed down through oral histories and observation, there is increased recognition of documenting and sharing this traditional knowledge more broadly to allow for exchange of ideas between communities and potential partnership on global issues like climate change.
The document provides information about an event occurring from August 7-11, 2013 in Gallup, New Mexico. The event is taking place at Red Rock Park, as indicated by the URL www.theceremonial.com. No other details about the event are provided in the short document.
The document wishes happy holidays from the Vice President of the Navajo Nation, Rex Lee Jim. It provides greetings in the Navajo language including á’á’t’ééh, Keshmish Doo, Hózhóogo Nee, and Nínádoohah.
This holiday greeting from the Navajo Nation President Ben Shelly and First Lady Martha Shelly wishes recipients peace, joy, love, and abundance during the holiday season. The greeting also includes a Navajo phrase that translates to "Going Forward with life and beauty for our future."
Cal Nez Design is a 100% Native American graphic design firm with over 21 years of experience. They specialize in understanding Native American culture and communicating effectively for tribal clients. Their portfolio includes design work for governmental agencies, private companies, and events related to the Navajo Nation and other tribes. The founder, Cal Nez, was featured on the cover of Utah Business magazine for his success in bridging cultural gaps through graphic design.
The document is a calendar poster for the San Juan County Bookmobile for 2010. It lists the months of the year with dates and days of the week. The poster promotes the bookmobile's schedule and services provided by the Utah State Library.
The article discusses new advancements at Tséhootsooí Medical Center (TMC). TMC has received approval from the FDA to use a new Digital Breast Tomosynthesis system, making it the only healthcare facility in Indian Country to offer this advanced mammography technology. The technology creates a 3D image of the breast through multiple digitally processed x-rays, allowing physicians to better detect early-stage breast cancers. Additionally, TMC's Turquoise and Coral Adult Clinics have merged to form a new Primary Care Clinic in order to improve patient care through a more coordinated service delivery model. The changes have required some adjustments but are aimed at enhancing the patient experience.
We stylized, photographed and printed the Official portrait for the Navajo Nation.
We have the ability to combine all three discipline to make art work for the clients like the Office of the Navajo Nation President and Vice President.
NATIONAL AMERICAN INDIAN HOUSING COUNCIL - 2011 Annual ReportCal Nez Design
Cal Nez Design designed, produced and printed these annual reports and delivered it to Anchorage, Alaska in time and with quality.
We reorganized the entire layout of the annual report, quite different from previous years.
There is a science to annual report design and development. There is the overall marketing piece, typography and photography.
We were pleased with it so was the client.
Cal Nez Design - News Article - Indian Country TodayCal Nez Design
Cal Nez, a Navajo graphic designer, is featured on the cover of Utah Business magazine for his successful graphic design and advertising agency, Cal Nez Designs. Nez emphasized the importance of believing in oneself and persevering through challenges. He encouraged Native American tribes to support entrepreneurship programs for youth. Nez hopes his success can motivate other Native Americans and show them that they too can achieve their goals through hard work and determination.
Dr. Leland Leonard has initiated an incredible concept of utilizing 100% Navajo services. He has given our firm to demonstrate our quality products and service.
The document is a commemorative program for the 2011 inauguration of Ben Shelly as President of the Navajo Nation and Rex Lee Jim as Vice President. The inauguration was held on January 11, 2011 in Window Rock, Arizona. The program provides details of the inauguration events and ceremonies, including musical performances, speeches, oaths of office and cultural presentations. It also provides biographies of President Shelly and Vice President Jim, as well as listings of the Navajo Nation Council members, Board of Election Supervisors, and Judicial Branch leaders.
Cal Nez Design, 100% Native American Graphic Design and Advertising Agency with over 23 years of experience providing award-winning designs from conceptual design through final printing. www.calnezdesign,com
ARENA - Young adults in the workplace (Knight Moves).pdfKnight Moves
Presentations of Bavo Raeymaekers (Project lead youth unemployment at the City of Antwerp), Suzan Martens (Service designer at Knight Moves) and Adriaan De Keersmaeker (Community manager at Talk to C)
during the 'Arena • Young adults in the workplace' conference hosted by Knight Moves.
Practical eLearning Makeovers for EveryoneBianca Woods
Welcome to Practical eLearning Makeovers for Everyone. In this presentation, we’ll take a look at a bunch of easy-to-use visual design tips and tricks. And we’ll do this by using them to spruce up some eLearning screens that are in dire need of a new look.
1. A M E D I C A L P U B L I C A T I O N
T S É H O O T S O O Í M E D I C A L C E N T E R
Volume 2 No. 2 COMMUNITY NEWSLETTER APRIL/MAY 2012
Improving Care for Cancer Patients
By: Gail Oglesbee, RN, Cancer Case Manager
In a smaller community, such as Fort Defiance, not only is the hospital the place to
go for health needs, it is a place where your neighbors, friends and family work. The
hospital is an integral part of not only the Fort Defiance community but also all the 16
Navajo Nation Chapter communities within Tséhootsooí Medical Center’s service area.
O
ur hospital strives to • rizona Cancer Center Tucson,
A here has created a Cancer Care
Compassionate
meet the needs of the AZ, Case Manager position. By
community it serves. Decisions to which facility having a single office receiving
The majority of health a patient is referred to depends on and sending out information,
needs can be met right here. the services the patient needs as the intent is to make care more
However, some medical needs well as travel distance. Sometimes convenient for patients as well
are beyond the scope of care that patients have family in the as less confusing. Confusion can
our local facility can provide. One vicinity of a treatment center with lead to patients falling through
diagnosis that often facilitates whom they can stay with during the cracks, causing delay or even
outside care is cancer. Patients treatment and that helps to make cessation of treatment. The
who need specialized cancer the decision for them. Cancer Care Case Manager will
surgery, chemotherapy or radiation Once a patient has (Continued on Page 4)
treatment are referred to cancer started care at a cancer center, INSIDE STORIES
centers. they usually return to their TMC
2
Currently, TMC patients care provider for treatment of RAISING THE LEVEL:
Honoring Laboratory
being treated for cancer are their other health care needs. PAGE Professionals
receiving care at the following They also return for radiologic,
3
LEADING THE WAY:
centers: pharmaceutical and laboratory CEO Message
PAGE
• New Mexico Cancer Center needs as ordered by the cancer care
4
(NMCC) Gallup, NM (A satellite providers. Because these orders are BAA HÓZHÓ (IINA):
Gathering of Native
facility of New Mexico Oncology from an outside facility, they have PAGE Americans (GONA)
Hematology Consultants, Ltd. in to be rewritten by a TMC doctor
Albuquerque)
• niversity of New Mexico
U
to be completed. Once studies
are done, those results have to be
PAGE 5 EATING HEALTHY:
Bresatfeeding in the
workplace
Cancer Center, Albuquerque,
NM
faxed to the care center. Because
more than one doctor, in more PAGE 6 QUALITY OF LIFE:
NURSES WEEK
GETTING FIT:
7
• an Juan Oncology Associates
S than one facility is giving care, it Team Defiance
Farmington, NM can become confusing to patients PAGE
• rizona Hematology Oncology
A and their families. OUR COMMUNITY:
8
-Schedule of Events
Flagstaff, AZ In the interest of further -TMC Directory
PAGE
• Mayo Clinic Scottsdale, AZ assisting our patients, the hospital
P a g e O n e
newslettermarch.indd 1 4/10/12 11:51:12 PM
2. Volume 2 No. 2 H E A L T H Y W I N D S
T S É H O O T S O O Í M E D I C A L C E N T E R
RAISING THE LEVEL
Honoring Laboratory
Professionals
By: Arlinda Nez, TMC Laboratory Director
D
uring the week of April provides an opportunity to honor the contributions poster exhibits explaining the technology
22 through 28, 2012, of pathologists, laboratory technologists and and medical correlation to disease
Tséhootsooí Medical technicians in the maintenance of wellness, the states. Other activities include hospital
Center will celebrate the diagnosis of illness and the treatment of disease. departments engaging in various contests, a
contributions of its laboratory Medical laboratory professionals treasure hunt and a root beer ice cream float
professionals during National are dedicated to preventing serious illness party. The laboratory will also give tours to
Medical Laboratory Week. and disability from before a child is born and the hospital staff on how it has incorporated
This year’s theme, “Laboratory Professionals Get throughout the golden years of life. Using state the LEAN concept of “doing more with
Results” highlights the medical laboratory’s role as of the art technology and instrumentation, less” and improved its efficiency in order
a key element of patient care. they perform and supervise tests that not only to perform the additional 23,000 tests that had
“Laboratory medicine provides a search for potential health problems in the hope normally been referred out to reference laboratories
crucial thread that runs through the entire patient of identifying the disease early when it is most in order to provide quicker turnaround time results
care process,” said Arlinda treatable, but also guide and assess the ongoing to the hospital medical staff.
Lee, BSMT(ASCP), MAHSM, care of patients. More than 10 Billion laboratory Medical laboratory professionals
administrative laboratory tests are performed in the United States each year practice in medical laboratories in hospitals,
director at TMC. “Test results to confirm diagnoses, rule out suspected doctors’ offices, clinics, research facilities, blood
from the laboratory drive a conditions, or monitor treatment. banks, public health centers, the Armed Forces,
significant portion of clinical Laboratories play a veterinary offices, colleges, and many
decisions, from diagnosis to critical, front-line role in the industries. Titles include pathologists,
therapy. We are very fortunate to have detection of infectious agents, such medical technologist, clinical laboratory
strong and dedicated hospital leaders such as those that might be employed in scientist, medical laboratory technician,
as Dr. Michael Tutt, Chief Medical Officer, a bioterrorist attack. histotechnologist, histologic technician,
Christopher Anthony, Director of Ancillary “The community cytotechnologist, cytopathologist, phlebotomy
Services, and Dr. Leland Leonard, Chief laboratory often is the first to see evidence technician, clinical chemist, microbiologist,
Executive Officer. They support our efforts in of an infectious agent in a patient sample,” laboratory manager, and medical educator.
providing the most optimum laboratory testing Lee said. “Our contribution at the local Among the departments that make up the
services to our healthcare providers and patients.” level is critical to a process that, ultimately, medical laboratory are chemistry, serology,
Lee says National Medical Laboratory protects us all from the spread of disease.” hematology, cytology, microbiology,
Week TMC Clinical Laboratory plans immunology, coagulation,
to showcase in the hospital rotunda histology, urinalysis, and
HAPPY education the blood bank.
NATION
PROFES AL MED
SIONAL LAB
S WEEK!
P a g e T w o
newslettermarch.indd 2 4/10/12 11:51:15 PM
3. H E A L T H Y W I N D S APRIL/MAY 2012
T S É H O O T S O O Í M E D I C A L C E N T E R
Leading the Way
I am honored to provide this statement on behalf of the Fort Defiance Indian Hospital Board and the FORT DEFIANCE INDIAN HOSPITAL
Tséhootsooí Medical Center (TMC) and the Nahatá Dziil Health Center (NDZ) administration. BOARD, INC.
Board of Directors:
Roy Dempsey, President
Yá’át’ééh shik’éí doo shidine’é.
O
Caleb Roanhorse, Vice President
n Wednesday, March 28, 2012, Tséhootsooí Medical Center Lorraine Nelson, Secretary
(TMC) and Nahát’a Dziil Health Center (NDHC) celebrated its Martin Ashley, Treasurer
2nd year as Self-Determined health care facilities as authorized
Elmer Milford, Member
under Public Law 93-638. The Fort Defiance Indian Hospital
Board, Inc. (FDIHB) is the governing board for the Tséhootsooí Medical Dr. Raymond Reid, Member
Center in Fort Defiance, Arizona and the Nahát’a Dziil Health Center in Jerry Freddie, Member
Sanders, Arizona.
Tim Goodluck, Member
In celebrating this anniversary, the FDIHB, Inc. leadership
acknowledges and thanks the community for being visionary in deciding to Leland Anthony, Member
manage the operation of
the hospital by passing Leadership Council:
Chapter resolutions
supporting the PL-93- Michael Tutt, M.D.,
Chief Medical Officer
638 change. Staff is also
commended for being Tori Davidson,
proactive during the Chief Nurse Executive
transition from a federally Rachel Sorrell,
managed and operated Interim Chief Finance Officer
facility to becoming a
corporation controlled by Dr. Janet Slowman-Chee,
Chief Planning Officer
the FDIHB, Inc.
The past two years 2nd Anniversary morning blessing ceremony
Vivian Santistevan,
have progressed in such a Chief Human Resources Officer
positive and productive manner. The self-determined status has afforded
Valonia Hardy,
numerous changes and successes. Some significant achievements include: Chief Community Health Officer
• uccessful transition of the majority of our federal employees to corporate
S
employees, Tal Moore,
Chief Administrative Officer
• he completion of our second “unqualified” audit-meaning our finances are
T
handled properly,
• Changing our name to Tséhootsooí Medical Center,
• Successful completion and implementation of our strategic plan,
• Determining our mission and vision statements.
As we celebrate our achievements we, once again, roll up our sleeves
to continue with key initiatives like updating and implementing a new
strategic plan, implementing Telehealth services, strengthening our Quality
Assessment Performance Improvement (QAPI), planning to build a long term
care facility, and always looking for ways to Improve Patient Care (IPC).
Our mission is “to provide superior and compassionate healthcare
to our community by raising the level of health, Hózhó, and quality of life.”
Our medical teams at TMC and NDHC take your health needs seriously
and are committed to providing the best care. Miss Navajo
Nation Crystalyne
Curley celebrates
Respectfully, 2nd Anniversary
with TMC’s
Dr. Leland Leonard, CEO CEO Dr. Leland
Tséhootsooí Medical Center Leonard
Nahát’a Dziil Health Center
P a g e T h r e e
newslettermarch.indd 3 4/10/12 11:51:24 PM
4. Volume 2 No. 2 H E A L T H Y W I N D S
NAVA JO WAY OF LIFE
T S É H O O T S O O Í M E D I C A L C E N T E R
Baa Hózhó
Gathering of Native
Americans (GONA)
By: Clytemnestra Davison, Planning Logistics
T
he Gathering of Native Methamphetamine Suicide involvement in preventing social
Americans (GONA) Prevention Initiative (MSPI) ills, such as substance abuse and
training was held on Project sponsored the training suicide.
February 27 to March which incorporates the The three day training was
1, 2012, at the Navajo Nation values of human attended by many including
Museum and it was a huge growth and individuals in recovery, school
success! GONA is a healing responsibilities nurses, community leaders, and
journey/process that embraces often taught in traditional practitioners. The
community healing Native Cultures. honorable Navajo Nation Vice
with a holistic approach It also emphasizes President Rex Lee Jim provided a
through the exploration community blessing way song and prayer.
of issues brought on by GONA is for anyone interested
__________________
multigenerational trauma. Navajo Nation Vice in becoming a change agent,
Tséhootsooí Medical President Rex Lee Jim community developer, and
Center’s (TMC) leader. The training teaches the
importance of community healing
and having healthy traditions for
effective prevention. Strategies
of the Native belief system and
valuing all community members
is vital in creating a safe place to
share, heal, and plan for action.
IMPROVING CARE FOR CANCER PATIENTS (Continued from Page 1) The GONA training covered
the following four main areas:
seek to smooth the course of care prepared her to take on the expanded role
between facilities by facilitating in the new position. Patients who have 1. BELONGING- “Building and
communication between doctors, questions or referrals are welcome to visit strengthening the sense of team,
the patient and their family. her office, to be located in the Contract family, and community”- a place
___________________ Health area of the hospital. for all ages and for all people.
Gail Oglesbee, R.N. has worked at The expansion of services to include all The first day covered infancy
TMC since 1997, when she came cancer patients, and their primary care and childhood, a time when we
to work at the ‘old hospital’ as an providers is need to know how we belong.
emergency room nurse. Transferring intended to It is the most important first
to the new building, she continued in continue the lesson a person must learn to
that department until about four years focus of the live comfortably and to work
ago when she accepted a position in hospital to effectively.
the Surgery Clinic working as a case improve overall
manager. Many of the patients who patient care 2. MASTERY- “Gaining mastery
came into her care and management and outcome and healing from what holds us
during this time were cancer patients. for their
She feels that this experience has wellness. Gail Oglesbee, R.N. (Continued on Page 8)
P a g e F o u r
newslettermarch.indd 4 4/10/12 11:51:29 PM
5. H E A L T H Y W I N D S APRIL/MAY 2012
T S É H O O T S O O Í M E D I C A L C E N T E R
Healthy Eating
Breastfeeding In the
Compassionate
Workplace
By: Roberta Duncan, RD, MPH
T
séhootsooí Medical Center breaks and lunch times to nurse System, approximately 75% of
(TMC) recognizes that their baby or to pump breast Navajo Nation babies start out
breast milk is the best milk. Communication between breastfeeding. This rate falls to less
food for growth and the breastfeeding employees and their than half (40%) by 6 months. Part
development of infants. TMC supervisors, during pregnancy and of the reason for this drop in the
encourages all employees to have after the baby is born, is extremely breastfeeding rate may be because
a positive, accepting attitude important so accommodations can breastfeeding moms return to work
toward working women who are be made to satisfy the needs of – many out of necessity.
breastfeeding. both the employee and TMC.
TMC There are Did you know?
promotes “Communication two electric breast The Navajo Nation Council
and supports pump motors passed the “Healthy Start Act”
breastfeeding between breastfeeding in the employee in October 2008. It was signed
and the employees and their lactation room into law by then-president Joe
expression of (located on Shirley, Jr. in November 2008.
breast milk
supervisors, during the OB Ward). Under this Navajo Nation Law,
by employees pregnancy and after Breastfeeding working breastfeeding women and
who are the baby is born, is employees their employers work together to
breastfeeding provide their create a clean private area, not a
when they extremely important so own attachment bathroom, to allow a breastfeeding
return to work. accommodations can be kit. A TMC working mom to breastfeed or
TMC supports breastfeeding use a breast pump. The law also
breastfeeding made to satisfy the needs mom can go to permits a sufficient number of
mothers because of both the employee and the OB Ward unpaid flexible breaks during work
there are Nurses station to for an employee to breastfeed her
TMC.”
benefits for not sign in and obtain baby, or to use a breast pump.
only the mother the key. Employers doing business within
and baby but also for TMC as an the jurisdiction of the Navajo
employer. The following are some The TMC Breastfeeding in the Nation are required to have a
employee benefits: Workplace policy is communicated written plan on how they will
• ower health care costs
L to all employees during new comply with this law.
• ower turnover rates
L employee orientation training.
• ower absenteeism rates
L For more information on the Who can help?
• igher employee productivity
H Breastfeeding in the Workplace The Navajo Nation Breastfeeding
and morale policy, please go to the TMC Coalition is available to provide
• ositive public relations in the
P home page and look for “Reference support to Navajo Nation
community as a “family friendly” #4.7.” businesses and their employees
business on how to comply with the
The TMC’s Breastfeeding Some stats: Healthy Start Act (the workplace
in the Workplace policy allows According to the 2009 CDC breastfeeding law). The Navajo
breastfeeding employees flexible Pediatric Nutrition Surveillance Nation Breastfeeding Coalition can
(Continued on Page 8)
P a g e F i v e
newslettermarch.indd 5 4/10/12 11:51:31 PM
6. Volume 2 No. 2 H E A L T H Y W I N D S
T S É H O O T S O O Í M E D I C A L C E N T E R
F I T N E S S
Quality of Life
Nurses Week 2012
By: CAPT. Ruth Kawano, MSN, RN
N
ational Nurses Week Morgan, RN, Resource Nurse, embrace
begins each year on MSU, believes that, “nurses must caring, not
May 6th and ends on speak up for and be compassionate simply
May 12th, Florence towards the patients so that they as a task or TMC Nurses Kent
Nightingale’s birthday. The theme get better.” An advocate, “protects, professional Lingafelter, RN, Nurse
for this year’s Nurses Week is: represents and seeks what the obligation, but Executive, Susan
Morgan, RN, JoAnna
Nurses: Advocating, Leading, patient and provider goals are so as the focus McCabe
Caring. that the patient’s care is enhanced,” of their own
Now more than ever, Registered avows JoAnna McCabe, RN, identity as a Nurse. Susan adds
Nurses are positioned to assume MSU. that to be caring is to help the
leadership roles in health care, Nurses have to be leaders. Our patient physically, mentally, and
implement strategies to improve nurses today are challenged by spiritually to meet their needs.
the quality of care, and play a key changes in political environments, Advocating, leading, and
role in innovative, patient-centered budgetary restrictions, staffing caring are basic components of
care delivery models. The nursing shortages and technological nursing. Nurses advocate for all
profession plays an essential role advances, to name a few. It is patients by taking those in need
in improving patient outcomes, important that nurses anticipate under their care, guiding them in
increasing access, coordinating and adapt to these challenges. the right path towards health and
care, and reducing health care As leaders, nurses need to be supporting them through pain, fear,
costs. (ANA website, http://www. professional, visionary, and and sometimes the hopelessness
nursingworld.org). inspiring while providing the best of illness and disease. Nurses
At the Tséhootsooí Medical care for patients. Asked how his do it because of their nature to
Center (TMC), nurses assume nurses lead, Kent states that his be nurturing and caring. Nurses
many roles as an advocate, nurses as leaders are impacting are committed to giving quality
leader, and caring professional. A healthcare here at TMC by and compassionate healthcare at
definition of advocate is 1) one that providing evidence-based care Tséhootsooí Medical Center.
pleads the cause of another and through research. Susan followed, During the week of May 6-12,
2) one that defends or maintains “Nurses teach, work as a team, and 2012, nursing awards and other
a cause or proposal. In nursing, lead by example.” activities will once again take
advocacy is a key role. Kent Caring is the third component place during this celebration. The
Lingafelter, RN, ICU Nurse of the theme. JoAnna considers TMC community is encouraged to
Executive, believes that his critical listening to the patient’s concerns give thanks to all our nurses. We
care nurses advocate for patients and following through with those have over 100 Registered Nurses
by “ensuring that their rights and concerns; and being sincere employed at TMC in twenty
wishes are being protected,” and embody the concept of caring. two different departments of the
that safety is a high priority. Susan Kent asserts that his nurses hospital.
Health P a g e S i x
newslettermarch.indd 6 4/10/12 11:51:33 PM
7. H E A L T H Y W I N D S APRIL/MAY 2012
T S É H O O T S O O Í M E D I C A L C E N T E R
Getting Fit
Team Defiance
T
he Super Spartan were washing mud
Julius Be Larry Ho
ga y skie
Judd Hildre
obstacle course race off and missed
th
Chris Lar
Alfred Mu sen
rphy Jr. Edward
Becenti
is a more than 8 mile the photo shoot”
battlefield of insane mud laughs Barton.
running with sand bag carrying, The team raced Williama
Jim
Jimmy Tso
trench crossings, nearly six feet February
Jarom Pro sie
ws Muriel Tso
sie
Janelle Ya
zzie
deep stream crossings, rope 11, 2012 in
Regina Bro
wn
climbing, spear throwing, tire Chandler, AZ.
flipping, jumping over fire, low “It was tough
crawl under barb wire through dirt and fun at the Team Me
mbers No
and mud, wall climbing, balance same time and
t Featured
Elfreida :
Barton
Tovarai Te
norio
beams, multiple hill runs, running/ our team was
walking through waist and knee physically fit and ready for
Training
high deep water, multi-level such an event and I am proud of
also known as
monkey bars and Spartans. The them” Barton states.
MOCT. The training sessions are
obstacles test physical strength According to the event website
conducted Monday, Wednesday,
and mental resolve. “This 13 (www.spartanrace.com) “an
and Friday from 12:00-1:00
kilometer mud run is an endurance obstacle course race is designed
pm and Monday, Tuesdays, and
race which pushes you to your full to test your resilience, strength,
Thursday evening from 5:00 pm
potential” says Jimmy Tsosie a stamina, quick decision making
-6:00 p.m. She says more and
materials handler at TMC. skills, and ability to laugh in the
more TMC employees are finding
Tsosie took the lead to face of adversity.” The website
new interests to win the battle
motivate and recruit TMC further states “our goal is simple...
against health problems and to
employees who he fitness trains to get you off your couch, throw
stay fit as a team.
with to be part of Team Defiance. you in the mud trails, and feed
The next event the team is
The 13 member team also you one tough endurance event
competing in is the 2012 Warrior
includes six people who work for day that will be the adrenalin rush
Dash scheduled for May 5, 2012
the Navajo Nation government of your life.”
in Albuquerque, New Mexico.
and Navajo Nation Oil Gas. Barton says the Spartan Race
The Warrior Dash is another
The team placed 22 out of a total was only the beginning for team
3-mile obstacle course. Over
of 135 teams. challenges that TMC employees
22 individuals are signed up
Elfreida Barton, Wellness and community members can
representing the Fort Defiance,
Center Coordinator at TMC, participate in. Barton and her team
Navajo area. Good luck TMC
recalls how grueling the event of fitness specialists train TMC
Warriors!!
was. “We got so muddy that we employees in the Max Out Circuit
P a g e S e v e n
newslettermarch.indd 7 4/10/12 11:51:50 PM
8. Volume 2 No. 2 H E A L T H Y W I N D S APRIL/MAY 2012
T S É H O O T S O O Í M E D I C A L C E N T E R
Our Community
Newsletter Contact:
Dr. Janet Slowman-Chee
Tina James-Tafoya
Telephone: 928-729-8950
BREASTFEEDING IN THE SCHEDULE OF EVENTS
WORK PLACE (Continued from Page 5) April 2012 April 24, 2012: Child Abuse/Domestic Violence/
assist businesses in setting up a Diabetes Education Class Sexual Abuse Prevention
lactation program, which includes: Every Monday: 5:30 – 6:30 pm in TMC’s Zion
Awareness▲▲Community▲▲▲▲
▲▲
▲▲▲▲▲▲▲▲▲▲▲▲▲▲ Parade
▲▲▲ ▲▲
Seminar atLTH ▲▲
▲▲ Ft. Defiance
• ow to create an appropriate
h Conference Room
A Y
▲▲
▲▲
▲▲▲
▲▲
lactation room Chapter House
▲▲▲
▲▲▲
HE
▲▲▲▲▲▲▲▲▲▲▲▲
▲▲▲▲
•help write breastfeeding policies April 2, 2012: Yoga for Wellness
▲▲▲▲▲▲▲▲▲▲▲▲
• rovide employee education
p April 5, 2012: Honoring Life Conference NN April 30, 2012: General Foot Care
about managing working and
breastfeeding.
▲▲
▲▲▲▲▲Museum ▲▲▲
▲▲▲▲▲▲▲▲▲▲ 2-3:30 pm
Health
S
CH
▲▲▲
▲▲▲
▲▲▲
• rovide training for supervisors
p
▲ ▲▲▲
Naháta’Dziil Health Center
OIC
▲▲
E
▲▲▲
EALT
▲▲
▲▲
▲▲
▲▲
▲▲
to help them better understand
▲▲ ▲▲
H Diabetes Education Class
▲▲
▲
▲▲
▲▲
▲▲▲
▲▲▲
April 9, 2012: Diabetes Medications
▲▲▲
▲▲
▲▲▲▲
the positive impact of a
▲▲▲▲▲▲▲▲▲▲▲▲
▲▲▲
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H
April 12, 2012: 8:00am – 12:00 noon
▲▲▲▲▲▲▲▲▲ ▲▲
breastfeeding program on all
▲▲▲▲
employees. Y
▲▲▲▲▲▲▲▲▲▲▲▲
April 16, 2012: Healthy Cooking Class
Quality of Life
April 26, 2012: 8:00am – 12:00 noon
Please contact Roberta Duncan,
▲▲▲▲
CH
RD, MPH, Public Health April 23, 2012: Diabetes Medications
▲▲▲
OI
▲▲▲
Nutritionist, at 928-729-8424, for CES May 6-12, 2012: Nurses Week
▲▲
▲▲
▲▲
▲
▲▲ ▲▲
more information.
▲▲ ▲▲
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TMC DIRECTORY
GATHERING OF NATIVE AMERICANS (Continued from Page 5)
General Switchboard:................ 928-729-8000
back. ”The second day focused on empowering TMC’s MSPI extends its sincere appreciation to
Adolescent Care Unit:................. 928-729-3750
individuals and the community, and on adolescence the following for their support:
Adult Medicine Clinic:................. 928-729-8658
as a time of vision and mastering skills. Community Health:..................... 928-729-8425
Navajo Nation Vice President Rex Lee Jim Dental Appointments:............... 877-729-8003
3. INTERDEPENDENCE- “Working together Cocina de Dominguez Diabetes Program:...................... 928-729-8467
interdependently for positive change,” such as action Coalition for Healthy Resilient Youth Emergency Dept:.......................... 928-729-8600
and community leadership. The third day focused Ellis Tanner Eye Clinic:......................................... 928-729-8925
on adulthood and the integral and inter-dependent Express Dollar Home Based Care Prog:................928-729- 8032
relations within families and communities. Lowe’s Shopping Center of Window Rock, AZ Intensive Care Unit:.................... 928-729-8980
McDonalds of Window Rock, AZ Manage Care Service:................. 928-729-8181
4. GENEROSITY- “Giving back to self and Navajo Petroleum Mental Health:.............................. 928-729-8500
community.” The final day honored our elders, who Navajo Shopping Centers Multi-Service Unit:...................... 928-729-8625
continuously pass their wisdom and teachings Navajo Technical College, Culinary Arts Program Nursing:............................................ 928-729-8580
to our children. Each of us has a responsibility to Ralph Johnson Memorial Rodeo Committee OB/GYN Clinic:................................. 928-729-8770
give back to our communities and share graciously Safeway of Gallup, NM OB WARD:......................................... 928-729-8795
what we have learned. We need to remember our Tse Haal Taal Consulting Operating Room:.......................... 928-729-8740
teachings and become the best WE can be. Orthopedic Clinic:......................... 928-729-8678
Pediatric Clinic:............................. 928-729-8710
Through these four components one can start For More Information on GONA or TMC’s
Pharmacy:........................................ 928-729-8328
to examine how to be an active participant in their MSPI contact:
Physical Therapy:......................... 928-729-8810
own life and in their community. Lucy Laughter-Begay, MPSI Director
Podiatry:........................................... 928-729-8815
Kenneth W. Harvey Jr., MSPI Culture Liaison Respiratory Therapy:.................. 928-729-8835
MSPI’s Cultural Liaison and GONA trainer Methamphetamine and Suicide Prevention Initiative Social Services:.............................. 928-729-8527
Kenneth Harvey led the training and was assisted (MSPI) Project Surgery Clinic:................................ 928-729-8695
by trainers with from the Native American Center for Tséhootsooí Medical Center Naháta’ Dziil Health Center
Excellence. 928-729-3749/8429/3765 (Sanders):.................................... 928-688-5600
P a g e E i g h t
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