Nursing Now

Sunday, May 4, 2008

Nursing Now Bigger roles in patient care Advancedpractice nurses filling the health-care gap

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Terry Foster, clinical nurse specialist at St. E’s, and Lisa Crosby, a Cincinnati school-based nurse practitioner.

In recognition of National Nurses Week, May 6-12

Thank You!

To all of the nurses in theTri-State from your friends atThe Health Alliance.

www.health-alliance.jobs

University Hospital • Jewish Hospital • Fort Hamilton Hospital • West Chester Medical Center • Drake Center • Alliance Primary Care and affiliated practices

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The Enquirer

May 4, 2008

WHAT’S INSIDE m Prenatal-clinic coordinator enjoyed the job so much, she just couldn’t retire.

Page 4 m Her love of bedside nursing is a good match for Hospice of Cincinnati.

Page 6 m Veteran ER nurse “brings the whole package” of skills to her job at St. Luke.

Page 8 m Making a difference for burn patients is key for supervisor at Shriners.

Page 9 m Nurse midwives give moms a birth experience they want while staying safe.

Page 10 m Observing the aging process is gratifying for retirement-center nurse.

Page 11 m Psychiatric patients need a good listener – and she is.

Page 12 m Teaching nurse tells students to expect constant changes and challenges.

Page 14 m Volunteering as newborn “cuddler” led to full-time career in neonatal intensive care.

Page 14 m Caring for patients at home, she quickly becomes part of many families.

Page 18 m Nurse practitioners are key part of growth in drugstore clinics.

Page 20 m Nurse anesthetist has to be ready for patients 24/7.

Page 21 NURSING NOW Section editor: Dave Hofmeister Photo coordinator: Liz Dufour Cover, page designer: Steven Sharp On the cover: Lisa Crosby, a Cincinnati school-based nurse practitioner, and Terry Foster, clinical nurse specialist at St. E’s.

Advanced nursing

Nurse practitioners and other specialists are taking on more patient care responsibilities

By Peggy O’Farrell

pofarrell@enquirer.com

Lisa Crosby was a pre-med major when she decided she really didn’t want to be a doctor.

She wanted to be a nurse.

But not just any nurse.

“I felt I had more to offer than general floor nursing. I wanted to give patients more holistic, well-rounded care,” she said.

So Crosby, 42, of Finneytown earned her master’s degree and got her certification as a nurse practitioner.

The certification means she can diagnose and treat a variety of illnesses, prescribe some medications and manage chronic illnesses, such as asthma and diabetes.

In Greater Cincinnati and Northern Kentucky, advanced-practice nurses fill an important need for patients in hospitals, doctor’s offices, clinics and In Ohio, the number of schools. advanced-practice With fewer doctors choosing primary-care nurses is increasing roles, somebody has to steadily. In 2005, 6,692 advanced-prac- take on routine care, and that’s where nurse tice nurses were lipractitioners like Croscensed in the state. by come in.

By 2007, that number There’s another reahad risen to 7,703, son more providers rely according to the Ohio on nurse practitioners Board of Nursing. and other advanced practice nurses: Recent changes in medical education mean residents – physicians who’ve completed medical school, but not their specialty training – have to work shorter shifts in hospitals.

Nurses who want a hands-on role in health care can move past their registered-nurse certification and earn licensing as nurse practitioner, nurse-midwife, nurse-anesthetist or clinical nurse specialist.

Crosby’s patients are the students at Burton Elementary and South Avondale Elementary.

For many, she’s their only primary-care provider. She heads up the school-based health centers at the two schools. She also works in the pediatric primary care clinic at Cincinnati Children’s Hospital Medical Center.

“A school nurse mostly takes care of cuts and bruises, and they’ll refer anything more serious. As a nurse practitioner, I am who they refer to,” she said.

A typical day for Crosby includes giving students sports physicals; providing basic preventive care, including immunizations and wellchild checks; and diagnosing ear infections, asthma, ADHD and other childhood ailments.

With a dual mission to cut costs and improve quality of care, hospitals are looking at different options.

Fast fact

See ADVANCED, Page S4

The Enquirer/Gary Landers

As a pediatric nurse practioner, Lisa Crosby can diagnose and treat a variety of illnesses, prescribe medications and manage chronic illnesses, such as asthma and diabetes. Crosby’s patients are the students at Burton Elementary and South Avondale Elementary.

The Enquirer

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The Enquirer

May 4, 2008

Marlene Osborne checks out Strider Inwood, 1, as his mother, Erica Collins, holds him, at the Warren County Health Department in Lebanon. At age 71, she just hasn’t been able to leave a job she enjoys so much.

“I could have retired a long time ago,” she says, “but I love what I do.”

Photo by E.L. Hubbard for The Enquirer

Retiring just wasn’t in the cards for her

By Valerie Prevish

Enquirer contributor

Retiring at age 65 was not in the cards for Marlene Osborne of Waynesville, a prenatal-clinic coordinator at the Warren County Health Department.

She wasn’t ready to leave a job she enjoys coming to each day.

“I could have retired a long time ago, but I love what I do,” said Osborne, 71.

After nearly 50 years in nursing, 33 of them with the Warren County Health Department, Osborne said she has seen several generations of moms and babies come through.

“Now I am seeing many of the daughters and granddaughters from the moms I knew years ago,” she said.

Osborne said she never tires of her job, however, and enjoys seeing the joy of motherhood in the face of each new patient at her clinic.

“I just like to be around people,” she said.

One of the favorite parts of her work is teaching expectant

Prenatal-clinic coordinator couldn’t leave a job she loved About Marlene Osborne Lives in: Waynesville Employer: Warren County Health Department Age: 71 Years in nursing: 49 School attended: Mount Carmel School of Nursing in Columbus Loves most about nursing: Educating patients about the importance of good habits during pregnancy.

moms how to take care of themselves and their newborns.

“We do a lot of educating, telling them how to eat right, no smoking, no alcohol, that kind of thing,” she said.

Seeing each mom at the end of her pregnancy with a healthy newborn is a part of her job that has its own reward.

She graduated from what is now Mount Carmel College of Nursing in Columbus almost 50 years ago, back when it was known as Mount Carmel School of Nursing.

After several years in emergency-room nursing, Osborne quit work to stay home after her third child was born.

When the kids went off to high school, she went back to work for Warren County.

She said she might finally call it quits next spring, because she will have reached a milestone anniversary, 50 years in nursing.

And there are a few other things she wants to do, she admitted, like visiting her grandchildren scattered across the country.

Advanced: RNs are specializing in many ways From Page S2 They’re looking at which health professional offers the best care to patients in different situations, said Lou Ann Emerson, senior associate dean of the University of Cincinnati’s College of Nursing.

Many hospitals utilize teams made up of nurses, physicians and pharmacists, as well as other health professionals.

Depending on a patient’s illness and the stage of treatment he’s receiving, the physician might not be the best person to direct care.

“In advance practice, nurses’ patient loads are people with chronic illness. The physician has to be there to do the highfalutin’ stuff, and the surgery, but there’s a lot of health care that’s about management and education. Are you taking your meds? Are you folFoster lowing your diet?”

Emerson said. “That’s where the pharmacist and the nurse come in.

The nurse especially has a role in educating the patients how to take care of themselves.”

Terry Foster, a critical-care and emergency-room clinical nurse specialist at St. Elizabeth Medical Center, fills a different role for patients.

The 50-year-old Taylor Mill man takes care of some patients, but his main responsibility is teaching other nurses how to take better care of patients.

“I’m a facilitator. I’m a teacher.

Sometimes I’m a cheerleader.

Most of the time, I make sure things are working OK so people get the knowledge and skills they need in the ER,” he said.

One of his jobs is helping new hires or nurses who have recently transferred from other departments strengthen their critical-care skills. “Usually your exposure to the ER or intensive-care unit in nursing school is pretty limited,” Foster said.

When a patient’s condition declines, or someone calls a “code blue,” he’s there, both to help the patient and to oversee the care the other nurses provide.

Advancedpractice nursing

In the U.S., there’s a growing demand for advanced-practice nurses, who can provide more demanding direct patient care. Opportunities include: m Clinical nurse specialists, who often concentrate on educating other nurses and implementing quality improvement measures in several specialty areas. m Nurse midwives, who provide prenatal and gynecological care to healthy expectant mothers, deliver babies and provide postnatal care. m Nurse anesthetists, who nationally provide about 65 percent of all anesthetics given to patients. m Nurse practitioners, whose specialty areas include pediatrics, geriatrics, family practice, psychiatry and acute care, provide primary care and preventive care for patients in a variety of settings, including hospitals, physician’s offices, public health centers, work sites and schools.

Certification requirements and duties vary by state, but in general, advanced-practice nurses hold master’s degrees in nursing and have completed advanced training in diagnosing, managing and treating a variety of illnesses.

Source: The American Association of Colleges of Nursing

Patients are sicker when they come to the hospital now, which means nurses need more advanced skills, Foster said.

“The acuity we’re seeing in the ER is just unheard of. I’ve been a nurse for 30 years. When I started, I’d bring a book to read for when it got slow,” he said.

“Those days are long gone. Every patient that comes in now is really, really sick.

“A lot of the patients who are coming now, they would have died before they even got to the hospital 30 years ago.”

May 4, 2008

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May 4, 2008

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VA NURSES

Our everyday heroes committed to nursing excellence in caring for America’s Veteran’s.

WE THANK YOU. JEANETTE T. CRISWELL, MSN, RN Associate Director for Nursing Service LINDA D. SMITH, FACHE Medical Center Director SIDNEY STEINBURG, MD Chief of Staff DAVID E. NINNEMAN Associate Medical Center Director

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Lois Schloemer intended “to take a pause” in her career when she retired from full-time nursing at Mercy Franciscan’s Western Hills campus about five years ago.

But that pause lasted “oh, about two days” before she joined the staff at the new Hospice of Cincinnati inpatient unit at the hospital, where Hospice of Cincinnati (which is owned by TriHealth) leases its hospital wing.

With four decades of nursing behind her, Schloemer’s preference for “bedside nursing” is a good match for Hospice, a health-care program designed to provide a comfortable end-of-life situation for terminally ill patients. Some Hospice patients are still at home, while Hospice of Cincinnati’s four area inpatient units exist to help patients when their illnesses require more round-the-clock nursing care, overseen by physicians.

“People need a place to die,” Schloemer said, “a place to be comforted, where they don’t have to be in pain.”

Schloemer talked of one patient who “was so content when he came here,” worn out from his unsuccessful medical treatment. Feeling as though he had permission to die upon arrival at the Hospice inpatient unit, she recalled, “he said, ‘It’s OK, isn’t it? You’re not going to stick me anymore?’ ” Before coming to work for Hospice, Schloemer spent a decade helping rehabilitate stroke or hipsurgery patients, and that required involving patients’ families in their at-home care, too. Dealing with patients’ families rounds out her job satisfaction as a Hospice nurse, Schloemer said.

“The families have important contributions to make” as caregivers, she said. “These people have taken care of this person” up to their arrival at the inpatient unit.

“You can’t take that away from them. They have to be part of the decisions” made for a patient’s course of treatment for end-of-life pain management.

Jane Boden, nursing supervisor of Hospice’s Western Hills inpatient unit, said “surveys of family members often say, ‘I wish I’d called

Tony Tribble for The Enquirer

“People need a place to die … where they don’t have to be in pain,” says nurse Lois Schloemer.

About Lois Schloemer Lives in: Green Township.

Employer: Hospice of Cincinnati.

Age: 62.

Years in nursing: 41.

Education: Good Samaritan Hospital School of Nursing.

Loves most about nursing: “I really love being part of the interaction between patients and their families.”

Hospice sooner’ ” to take advantage of their services, such as use of medical equipment in the home, prescription deliveries from the Hospice pharmacy to the patient’s home, or short- or long-term use of the inpatient facility when family caregivers need a break. Hospice services are in general covered by health insurance much as a doctor’s or hospital’s services would be.

Schloemer, Boden said, is “a tremendous benefit to the unit – she is especially sensitive to what families need. Once a patient is comfortable (at the inpatient unit), the focus of the nurses shifts to the patient’s families.” And Hospice nurses are aided to that end by other staff members such as social workers and chaplains.

“You really have to listen, and then work … with the other nurses and with the social workers,” Schloemer said, to make the experience of dying as painless as possible for patients, and their families.

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The Enquirer

May 4, 2008

Area nursing schools University of Cincinnati Contact: 513-558-3600. E-mail: nursing@UC.edu Web site: www.nursing.uc.edu

Northern Kentucky University

Contact: Academic adviser Sallie Parker Lotz at 859-572-1364 or lotzs@nku.edu; main nursing office, 859-572-5248 Web site: www.nku.edu/~nhp/

Xavier University

Contact: Marilyn Gomez, director of Nursing Student Services: 513-7454392 or gomez@xavier.edu Web site: www.Xavier.edu/nursing

Miami University

Contact: 513-785-3111 (Hamilton); 513-727-3216, (Middletown); e-mail mumadmission@muohio.edu Web site: www.eas.muohio.edu/nsg.

College of Mount St. Joseph

Contact: Nursing program: 513-2444511; Master’s of Nursing: 513-2444723 Web site: www.msj.edu/view/academics/undergraduate-programs/ nursing.aspx

Thomas More College

Contact: Lisa Spangler-Torok 859344-3413 or lisa.spangler-torok@thomasmore.edu.

Web site: www.thomasmore.edu/ nursing/?group2=Nursing

Gateway Community & Technical College Contact: 859-441-4500 Web site: http://www.gateway.kctcs.edu/new/programs/ adn.htm

Cincinnati State Technical & Community College Contact: 513-569-1440 or 513-5691670; advisers for entering students are Dr. Athealia Bell (athealia.bell@cincinnatistate.edu) and Dr. Effie Rosa (effie.rosa@cincinnatistate.edu) Web site: www.cincinnatistate.edu

Christ College of Nursing

Contact: 513-585-2403 Web site: www.thechristcollege.org

Good Samaritan College of Nursing Contact: 513-872-2743 Web site: www.gscollege.edu Source: Enquirer research

The Enquirer/Amie Dworecki

Rose Anne Bertram (left), talking here with EMT Bobby Ridenour in the Emergency Section at St. Luke Hospital, where she works in Ft. Thomas, says that if she had it all to do over again, she’d still be a nurse. “I think this is where I was meant to be,” she says of the emergency room.

‘I was meant to be’ in ER

By Allen Howard

ahoward@enquirer.com

She’s got nursing in her blood About Rose

Each Thursday at 7 a.m., Rose Anne Bertram begins work as an emergency room nurse at St. Luke Hospital East, where she is accustomed to dealing with all the ills of society – a task that requires tolerance, patience, a caring spirit, toughness and softness at the same time.

She has been a nurse for 37 years at St. Luke, first working as a staff nurse, a shift supervisor and then on to the emergency room, where she has worked since 1994.

“I asked to be transferred to the emergency room,” said Bertram, 58, who lives one mile from the hospital in Fort Thomas. “I think this is where I was meant to be. There is something special about seeing people who have progressed to leave the hospital after watching them come into

the emergency room real sick.”

She said to be involved in that kind of nursing care requires something special, not just the knowledge of nursing, but being able to relate to the patients and their families.

Bertram thinks that nursing got into her blood; she started working in a hospital at age 17.

She worked as a nursing aide at the Taylor County Hospital in Campbellsville, Ky., where she grew up.

She received her degree in nursing from Northern Kentucky University.

Nursing to her is unpredictable, but also positive.

“I even like to see other nurses working with patients and talking with them about the work. This hospital is like a community to us. I live nearby and I

want to see it be a positive part of our community,” she said.

In an emergency unit that sees 3,100 patients a month, Bertram has a reputation of being meticulous and professional, said Vanetta Mohr, clinical coordinator.

“I think she brings the total package to nursing, giving 110 percent,” Mohr said. “I depend on her to keep me informed of what is going on.”

Bertram is married to Bill Bertram, a salesman at Barrett Paving Materials, Lockland, and has two children, Patrick, 27, and Alicia, 23. She is an avid walker and is training to walk in the Flying Pig Marathon on May 4.

“I am not going to walk the entire marathon. Just 13½ miles,” she said. She is a volunteer usher at the Aronoff Center for Arts, a member of St. Thomas Catholic

Anne Bertram

Lives in: Fort Thomas Employer: St. Luke Hospital East Age: 58 Years in nursing: 37 Education: Northern Kentucky University Loves most about nursing: Being able to use tolerance and patience along with knowledge with people and their families in times of sickness.

Church and loves listening to blues by singer Harry Connick.

“Even though, today, women have so many other professional choices, if I had it to do over again, I would still be a nurse,” she said.

The Enquirer

May 4, 2008

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Pace at Shriners makes job rewarding

By Valerie Prevish

Enquirer contributor

Suzanne Smith says her job is one of those not just anyone can do.

Smith, 47, of Delhi Township, works with pediatric burn victims at Shriners Cincinnati Burns Hospital in Corryville, part of a national network of hospitals run and funded by the Shriners of North America to help pediatric burn victims and orthopedic patients.

A supervisor on the night shift, Smith said she was drawn to work at Shriners after first visiting the hospital as a teen.

She toured it with a class from her high school as part of a project about careers, and said she knew right away it was the right fit for her.

“I was so impressed with what they did there,” said Smith, who recently received the Florence Nightingale Award from the University of Cincinnati College of Nursing, which is awarded to nurses for exceptional patient care. “I knew I

Helping burned kids stressful, but allows time with patients

About Suzanne Smith Lives in: Delhi Township Employer: Shriners Cincinnati Burns Hospital Age: 47 Years in nursing: 24 Education: Xavier University School of Nursing Loves most about nursing: “Reading a book to a young patient, or comforting a child after a dressing change.” wanted to work there.”

A little more than 10 years later, in 1991, Smith’s dream was realized when she started working at the hospital on the night shift while completing her nurs-

To our nurses, we say

ing degree at Xavier University.

“It is a phenomenal place to work,” she said.

Smith said the time that she spends with patients just nurturing them is one of the best parts of her job.

Tasks such as reading to a very young patient, or comforting a child after a dressing change, are some of the things that make working at Shriners unique, she said.

Hospitals with faster-paced schedules don’t allow for such luxuries, but Shriners emphasizes taking time with patients, she said.

Nevertheless, Smith said, many of her friends and family who are in nursing say they could not do what she does on a daily basis because of the emotional stress traumatic burn cases can inflict on patients, families and health-care workers.

Thank You!

You make a difference in our patients lives.

The Enquirer/Jeff Swinger

Night-shift supervisor Suzanne Smith knew she wanted to work at Shriners Cincinnati Burns Hospital after touring it in high school. She got the chance in 1991 while finishing her nursing degree at Xavier University.

“It’s not for everybody,” she said. “But it can be very rewarding.”

Smith also teaches nursing part-time at the College of Mount St. Joseph.

Her students and co-workers at Shriners nominated her for the Florence Nightingale

Award.

She said the fact that others feel she is making an impact on their lives makes her feel good at the end of the day.

“I think the best part of my job is that I can feel that I’ve made a difference when I leave,” she said.

The new ATRIUM MEDICAL CENTER is located in the heart of southwestern Ohio at I-75 in Middletown. This extraordinary, new 250-bed hospital with all private, oversized, family centered rooms is redefining healthcare in this region. It could redefine your future as well!

OPEN HEART SURGICAL RN’S Full-time, 7a to 7p, 12 hour shifts $10,000 sign-on bonus Education: Graduation from accredited school of nursing, BSN preferred.

Licensure: Valid Ohio State Registered Nurse License.

Experience: Must possess current hospital nursing experience (within past five years) and have at least two years of Open Heart Surgical experience.

OPEN HEART IN-PATIENT CLINICAL RN’S Full-time, 12 hour shifts, all shifts available $10,000 sign-on bonus Education: Graduation from accredited school of nursing, BSN preferred.

Licensure: Valid Ohio State Registered Nurse License.

Experience: Must possess current hospital nursing experience (within past five years) and have at least two years of Open Heart In-Patient Care experience.

CARDIAC INTENSTIVE CARE/CARDIAC TELEMETRY RN’S Full-time, 7p to 7a, 12 hour shifts Education: Graduation from accredited school of nursing.

Licensure: Valid Ohio State Registered Nurse License.

Experience: Must possess current hospital nursing experience (within past five years) and have at least two years of Cardiac Care experience.

Closer than you think, Atrium Medical Center is only a 30-minute drive from greater Dayton or Cincinnati and in the backyard of those living in Butler and Warren counties.

Join us as we build our future – and yours – by applying at

AtriumMedCenter.org.

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The Enquirer

May 4, 2008

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Midwife has delivered 1,200 babies ANDERSON TWP. – Over the last 14 years, Susan Holden has delivered more than 1,200 babies.

“I see the reward of the miracle of birth, holding babies and seeing families add a child. It still makes me cry,” she said. “I can’t imagine not always wanting to do this.”

Holden, a certified nurse midwife, spent 13 years as an emergency room nurse before following her calling to become a nurse midwife.

“I’ve been a baby person since my sister was born when I was 5½ years old,” Holden remembers. “When I started my training as a midwife, immediately, I felt like this is what God wants me to do. It was an ‘aha’ feeling.”

She started as a nurse midwife at a women’s health clinic at Mercy Hospital Anderson, working with underserved women.

Dr. Joseph Sclafani, a member of the Seven Hills Women’s Health Center practice, approached Holden about offering nurse midwife services through the practice. Holden agreed, as long as she could bring on additional nurse midwives as demand increased.

“It’s been a great career move,” she said. “The night shifts are still rough, but I catch a nap whenever I can. As soon as I get that call, I’m up and going.

You get that adrenaline rush.”

Within three years, the practice had four midwives and was delivering eight to 10 babies each month.

Now, there are eight nurse midwives delivering babies at Mercy Hospital Anderson and they deliver 40 percent of the hospital’s births.

“It’s become more mainstream, because women are very educated consumers,” Holden said. “They know what they want, and they go after it and appreciate that they have options.”

Nurse midwives focus more

The Enquirer/Cara Owsley

Sue Holden (left), a nurse and midwife, has delivered 1,200 babies, including two of Karen Leonard’s children, and may deliver the one that’s on the way. Holden says she’s been a “baby person” a long time.

About Susan Holden Lives in: Blue Ash Employer: Seven Hills Women’s Health Center Age: 51 Years in nursing: 30 years in nursing; 14 as a nurse midwife Education: Miami University-Hamilton, University of Cincinnati, Case Western Reserve University Loves most about nursing: Delivering babies time on education and teaching.

And the goal is for the mother-tobe to meet all four of the nurse midwives in the practice before the date of delivery so they’re

comfortable with whoever delivers the baby.

“Our philosophy is to give them a birth that they want while being safe,” Holden said. “I tell my moms that even if things don’t go exactly as planned, you’re going to be a mom, and that’s the best day of your life.”

And for most of the moms they see – single births and nonhigh-risk pregnancies – the deliveries go as planned or nearly as planned.

The midwives have a 10 percent rate of Cesarean section; the national average is about 31 percent.

“We know that birth is not a disease. We treat it differently,” Holden said. “It’s not just the mom giving birth; the whole family is involved. The entire maternity outlook has changed to reflect that.”

The Enquirer

May 4, 2008

- 11

Care center offers glimpse into ‘aspects of aging’

By Allen Howard

ahoward@enquirer.com

As Pat Williams walks among the elderly patients at Wellspring Health Care and Retirement Center, watching them smile, shuffle along the hallways, look at television and talk with each other, she’s learning about aging’s effects on people.

Williams is assistant director of nursing at the center, where more than 300 elderly are in the twilight of their lives.

“I have been here about 22 months; and of all my years in nursing, this is the most gratifying because it gives me a chance to see the different aspects of the aging process,” said Williams, who’s had a 35-year career.

And during those years, she has been involved in nursing from all perspectives, working as a licensed practical nurse, a floor nurse, assistant manager, manager and director of an intensive care unit at University Hospital, and teaching nursing at Cincinnati State Techni-

About Pat Williams Lives in: Golf Manor.

Employer: Wellspring Health Care and Retirement Center.

Age: 57 Years in nursing: 35.

Education: University of Cincinnati and Xavier University.

Loves most about nursing: “Giving respect to the elderly and watching the difference aspects of the aging process.” cal and Community College “The one thing that stands out about Pat Williams is her teaching skills,” said Sandra Curtis, a clinical nurse in the University of Cincinnati College of Nursing. “She would take the time to help anybody and give them encouragement to keep going.”

Williams is now very much con-

cerned about the nursing profession.

“Frankly, I am worried about the direction nursing care is going, especially the care of the elderly and the veterans,” she said.

She points to predictions that there will be a critical nursing shortage about 2010, brought on probably because women have so many more choices of careers now.

“Who is going to take care of the elderly and the veterans? And what is going to be the quality of care?”’ she queries.

The cost of health care for the elderly is of concern, she said.

“If a person has to live in a health-care facility for 20 to 30 years, chances are the resources are going to run out, which brings on the question whether the elderly will be taken care of by their families or a health care facility,” she said.

She compares her patients, mostly in their 50s though 80s, with her mother, who is 92 and lives by herself in Mount Auburn.

“She tells me she doesn’t want to

The Enquirer/Ernest Coleman

Pat Williams (right), assistant director of nursing at Wellspring Health Care and Retirement Center, talks with dietitian Corolyn Morin. Williams worries about the future of nursing. be around old folks,” Williams said.

“But how many people her age or even 10 to 20 years younger can say that?

“And I am very concerned about the quality of care and the respect given to our seniors. Part of the care given to the elderly should be

giving them the respect they have earned,” Williams said.

Williams, 57, is a graduate of the UC School of Nursing and has a master’s degree in nursing administration from Xavier University. She is a member of Church of Jesus Christ in Jordan Crossing.

We would like to take this opportunity to thank the nursing staff for their dedication to our patients and our agency for the last 99 years!

If you would like to continue this tradition of caring for patients in your local communities, please check out our open positions and join our team of dedicated nurses.

• RN Discharge Coordinators • Staff RNs • Staff PTs & OTs

Send resume to: mhepfner@thevna.org Fax: 513-621-2058

www.theVNA.org

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The Enquirer

May 4, 2008

Psychiatric patients treated with compassion

By Walt Schaefer

Enquirer contributor

Linda Downing listens.

As a licensed practical nurse in the adult psychiatric unit at Good Samaritan Hospital, the ability to listen without being judgmental is the most important requirement.

“I’m dealing with patients who are bipolar, schizophrenics, alcoholics and drug users in need of detox, depressed people and those involved in abusive situations. We need to get them healing,” said Downing, who often is the first person a patient sees after being referred from the emergency room.

The job often entails dealing with mental patients as well as people in need of medical treatment.

“For example, people who come in for detox often need IVs. Detox must be done safely or it might not be a good situation.”

Often, Downing deals with pa-

About Linda Downing Lives in: Green Township Employer: Good Samaritan Hospital Age: 51 Years in nursing: 30 Education: Stowe School of Practical Nursing Loves most about nursing: “It’s great to be a part of the healing process.” tients who seek help themselves.

“They come to us and I or one of my colleagues starts the admission process. We check vital signs and ask numerous questions to evaluate them.

“Whatever the case may be – from alcoholism to depression –

you are dealing with a very distraught person during the admission process and what they need is a little extra understanding and a little warmth. It’s putting yourself in their shoes. You put yourself into a position of trying to understand how they feel and how you would want to be treated.

“We are all at different points in our lives and all have had different struggles. So I don’t have any preconceived ideas about anyone. I just go with the flow. I listen.”

A couple of former patients have returned and sought out Downing to thank her and tell her they truly felt better after they were admitted and treated.

“Someone wrote a paragraph in an anonymous evaluation form using my name and calling me a true inspiration. I really don’t go around blowing my own horn and I try to be a humble person, but that makes you smile.

“I feel I’m a better person be-

Photo by E.L. Hubbard for The Enquirer

Linda Downing, a licensed practical nurse in the adult psychiatric unit at Good Samaritan Hospital, puts compassion and understanding first. cause of the people I’ve taken care of over the years; I’m more understanding now. I have learned a lot from them and I hope I have extended a blessing to them,” Downing said.

“Because of my relationship with God, I always want to put my best foot forward.

“I went into the health profession because, when I was younger, I had a health issue myself and be-

cause of that, I felt I had compassion and understanding … but, since then, I have grown more … and I’m even more enthusiastic (about the job) and a better person for doing it.

“Harry Truman said this: ‘When we accept tough jobs as a challenge and wade into them with joy and enthusiasm, miracles can happen.’”

“That says it all.”

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May 4, 2008

- 13

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The Enquirer

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The Enquirer

May 4, 2008

‘Cuddler’ was just the beginning

By Rebecca Goodman

rgoodman@enquirer.com

The Enquirer/Gary Landers

Ethel “Liz” Smith (left), an adjunct clinical instructor in nursing at Cincinnati Children’s Hospital Medical Center, works with student nurse Melanie DuBose as they enter a patient’s data. She’s the instructor for University of Cincinnati and Cincinnati State nursing students on pediatric rotation.

A demanding job, but it’s worth it

By Walt Schaefer

Enquirer contributor

University of Cincinnati and Cincinnati State nursing students interested in pediatrics are likely to make the acquaintance of Ethel “Liz” Smith, an adjunct clinical instructor in nursing at Cincinnati Children’s Hospital Medical Center.

“We allow colleges to come into Children’s to do pediatric rotation.

The clinical groups this quarter (for bachelor’s degrees in nursing) are from UC. So I go to the university for orientation day and help with orientation services. I am their clinical instructor. When they are on the hospital unit (during the 10-week quarter) and they are doing rotations, I am their instructor,” Smith said.

Smith provides direct supervision to her students. “I evaluate everything they do from engaging the family and engaging the patient to being able to do a proper (patient) assessment, administer medication and understand medication.”

Students must exhibit skills such as insertion of a gastrointestinal tube that generally goes to the stomach and is used for various reasons, including administration of pain medications, she said.

Smith, who has been teaching

Advice for would-be nurses About ‘Liz’ Smith Lives in: Fairfield.

Age: 34.

Employer: Children’s Hospital Medical Center.

Years in nursing: Four.

Education: Good Samaritan College of Nursing, University of Cincinnati College of Nursing.

Loves most about nursing: “I’m helping people and families and I’m instructing tomorrow’s nurses to make them good nurses.” since last September, has past experience at Good Samaritan Hospital and in hospice care as a staff nurse. She is seeing marked changes in her profession.

“I’m seeing diversity,” Smith said. “Historically, nurses have been primarily Caucasian women.

Now I’m seeing men in what has always been a woman’s job. I’m seeing more African-Americans … and even more diversity in races.

There are a lot more Asian and Latino nurses than before.”

It takes a special dedication to be a nurse, Smith said.

“It pays well. The hours are terrible. You need critical-thinking skills and an open mind. You have to be able to step back and be nonjudgmental – take care of the patient to the best of your ability with skill and knowledge. You may want to express personal views, but you can’t do that.

“Nursing is pretty hectic. We work 12 hour days. But, the busy days are not the difficult days. The hard days are when you have a patient with a very difficult illness with which the patient and family are struggling. That might be a very easy day physically, but mentally it is agonizing. You want to help make things easier or you want to change the outcome and you can’t. For me, those days are the worst.”

To anyone considering a nursing career, Smith offered insight.

“It is a constantly changing field. If you get bored being a nurse, then you are in the wrong place and you need to take a look at your career. There are so many aspects of nursing that you could go through a 40-year career and constantly be challenged. That’s the one thing I absolutely love about this job. I learn something every day. Never misses.”

More than two decades ago, Ed Anderson read a small newspaper article about a California highway patrolman who volunteered as a “cuddler” in a hospital neonatal intensive care unit. A cuddler volunteers to hold, read to and talk to babies in the intensive care unit when the nurses are busy and the parents are away.

“For reasons that I still can’t express, I called Good Sam to see if they had a similar thing,” Anderson said. “They did. I started early in 1987 as a cuddler.” He would show up at 4 a.m. and stay until about 8 a.m., all the while observing the nurses. “It looked like something that I could do,” he said.

So Anderson, who had been an industrial photographer for 18 years, enrolled at the Good Samaritan Hospital’s School of Nursing.

The cuddler program was “one of the greatest things going,” Anderson said. “Probably the only thing that would have kept me from going to nursing school was to do it (cuddling) full time and be paid for it. I would go in and whoever had somebody that needed a little attention, I could park myself and just pay attention to that child. That was pretty special.”

A father of three and a Cincinnati native, Anderson, 57, grew up in St. Bernard and graduated from high school there. He has worked at Good Sam’s NICU since graduating from nursing school in 1991.

One of the best things about his job is that the “vast majority of babies that we take care of go home and do pretty well,” he said. “And as we learn more and more, they continue to do better. Our outcomes just get better over time.”

On good days, he feels an emotional boost. There are, of course, bad days.

“There are days I could almost wish to be anywhere else,” Anderson said. Those are the days he has to tell a family that their baby’s outcome won’t be good. It often falls to the nurse to talk to the family after the doctor has left the unit.

“A lot of times when the family hears that the first time, it seems that they kind of close down and a lot of times the language that’s employed may be difficult to understand. It’s our job then to translate into more understandable terms. If

The Enquirer/Gary Landers

Ed Anderson at work in the neonatal intensive care unit at Good Samaritan Hospital. He started as a volunteer “cuddler,” holding, reading to and talking to babies in intensive care.

About Ed Anderson Lives in: Westwood Employer: Neonatal Intensive Care Unit at Good Samaritan Hospital Age: 57 Years in nursing: 17 Education: Good Samaritan Hospital School of Nursing Loves most about nursing: “It combines a lot of technology with a lot of personal care and attention for our patients and our families.” nothing else, we’re going to be at that bedside for 12 hours,” while the reality sinks in.

Still, Anderson enjoys working with patients’ families. “It’s very nice to meet people and feel like we’re helping them a little bit during a tough time,” he said.

He also feels a bond with the other nurses in the NICU. “I have felt that everyone seems to cooperate very well,” he said. “It’s just a very good place to work. I fell like we take care of each other as much as we do the patients and families.”

Anderson, who also teaches parttime at UC’s Raymond Walters College, sees enthusiasm in his students and thinks that bodes well for the future of the profession. “They seem to have a very good sense of self and I think in that regard there is a group of people coming along who may really wind up not only to be very good nurses, but very good for nursing.”

The Enquirer

May 4, 2008

- 15

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The Enquirer

May 4, 2008

S P E C I A L P R O M O TI O N A L F E A T U R E

Florence Nightingale Awards for Nursing Congratulations to the 2008 Recipients

16th Annual Florence Nightingale Awards for Nursing The University of Cincinnati College of Nursing created the Florence Nightingale Awards in 1992 to honor the extraordinary dedication and achievements of local nurses working in direct patient care. Each year, the Board of Advisors invites Greater Cincinnati physicians, patients, family and friends of patients, and other heath-care workers to nominate nurses who exemplify the spirit of caring embodied by Florence Nightingale, the “Founder of Modern Nursing.”

From hundreds of nominations, six Board of Advisors Award winners and 10 Dean’s Award recipients were chosen as 2008 honorees. The winners were recognized at a reception April 24 at the Hyatt Regency Cincinnati. Board of Advisor Award winners received $1,000 and a Florence Nightingale bust. Dean’s Award recipients received $400 and a commemorative plaque.

Money for awards is provided through sponsorships. Congratulations and thank you to our local Nightingales.

Board Of Advisors Award

Christ Hospital Award

Sheila Hicks Cincinnati Health Department

Growing up in Avondale, Sheila Hughes Hicks saw what a struggle it is to succeed when there are obstacles in your path. Now, as a school nurse at College Hill Elementary, she works tirelessly to ensure that students have access to the health care they need to succeed in the classroom. “No child with a problem will fall through the cracks under her watch,” a nominator said. An eight-year veteran of school nursing, “Nurse Sheila” not only performs the normal duties of a school nurse but also visits children in the hospital, goes to family funerals and even has helped parents get their health needs met. Whether providing a ride to the eye doctor or addressing a childhood obesity problem, she sees the students as “her kids” and means it in every sense.

Cincinnati Children’s Hospital Medical Center Award

Stacy Levi

Cincinnati Children’s Hospital Medical Center

For many families who come to the Same Day Surgery department at Cincinnati Children’s Hospital Medical Center, Stacy Levi’s smiling face is the first sign that everything’s going to turn out fine. In fact, some families always request her care because of her loving nature and caring touch. “She is able to look beyond the physical needs of the patient and family, and help them work through their fears and anxieties,” one nominator said. That help can come in any form, from playing a board game with a frightened child to simply offering an ear to listen. “It is a pleasure to work with someone who goes the extra mile in delivering patient care,” said another nominator. Sometimes it’s literally more than a mile — she serves annually on a church mission trip, building houses for less-fortunate families.

Patheon Pharmaceuticals Award

Judy Monroe Cincinnati Veterans Affairs Medical Center

At the Cincinnati Veterans Affairs Medical Center, it’s appropriate that a veteran nurse sets the example in mentoring, professionalism and patient care. Judy Monroe is completing her 24th year in nursing at the hospital, and is currently a member of the primary-care staff. As one nominator put it, “She has done so much to facilitate care that fitting it all into a letter instead of a book is difficult!”

Her accomplishments include reorganizing the pain management program and initiating group medical visit programs for veterans. At every step of the way, she’s a crucial contact for patients who have many hoops to jump through to be heard, be seen and receive care. As another nominator said, “Her love of nursing shines through all she does and makes us all remember why we became nurses in the first place.”

Omnicare Award

Terri Rutz

Cincinnati Children’s Hospital Medical Center

She may seem to work “behind the scenes,” as one of her nominators put it, but Terri Rutz is front and center in the hearts of the many new mothers she has helped in her nursing career. As a lactation specialist in the Center for Breastfeeding Medicine, she does everything possible to provide what mothers and babies need to continue breastfeeding, from developing individual care plans and staffing the Center’s “warm line” to finding missing breast pumps. In addition to praise from supervisors and peers, Terri’s nominations included a letter from one mother who wrote, “Throughout those first few weeks of being a new mom and attempting to successfully breastfeed, I spoke with numerous lactation consultants and nurses. None were as helpful and caring as Terri Rutz.”

TriHealth, Inc. Award

Suzanne Smith

Shriners Hospitals for Children

Imagine a nurse described as “never one to feel that she has enough to do.” That’s Suzanne Smith in the words of one nominator, who noted that she is an adjunct instructor at the College of Mount St. Joseph in addition to her duties as night shift supervisor at Shiners Hospitals for Children. On a typical night, Suzanne might have reports on 30 patients, find staffing for the night evening’s shifts, set up a transport from Florida and referee a dispute. But her main satisfaction comes from the many ways she makes a difference in the lives of the children she serves. Making a difference also extends to her teaching duties, working with student nurses for the past eight years. “By shaping the future of nursing,” the nominator said, “Suzanne is the teacher and role model that we all remember.”

Mercy Healthcare Partners Award

Karen Thompson Cincinnati Health Department

Teachers are used to receiving apples, not giving them.

But Karen Thompson’s performance as a school nurse prompted Covedale teacher Debi McCrea to write a note with an apple on the front, citing Karen as “an excellent nurse who is compassionate and caring to everyone she comes into contact with.” Splitting time between Covedale and Fairview, “Nurse Karen” serves more students than any nurse in Cincinnati Public Schools, says team leader Kathy Reder. Nominators cited multiple examples of her caring nature, including one instance where she intervened with parents, a teacher and a coach to rescue a child who had threatened suicide from a bullying situation. Her husband, Stephen Thompson, says Karen sees herself as “saving the world on a daily basis …one Band-Aid, one hug or one stomachache at a time.”

Photos by Andrew Ward/Moonlight Photography

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The Enquirer

May 4, 2008

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S P E C I A L P R O M O TI O N A L F E A T U R E

Florence Nightingale Awards for Nursing Congratulations to the 2008 Recipients

Dean’s Award Recipients

Mary Kappesser TriHealth, Inc.

Teresa Borders, Clinical Coordinator on Skilled Nursing at St. Luke Hospital East, earns praise from veterans and rookies alike in her profession.

Wrote one nominator, “She simply isn’t capable of bad care or shortcuts or putting herself first.” Another nominator, describing herself as new to nursing, wrote, “If you could just be on our unit for any amount of time you could see that she lives the role of teacher, assistant, advisor and friend.” She also was cited for her rapport with physicians – they request her assistance if she is not in the nurses’ station – and her ability to see the whole picture of patient care.

As a parish nurse in the Winton Hills neighborhood since 1998 and a person of great faith, Mary Kappesser is concerned with both body and spirit. Sometimes that can mean arranging a visit from a priest to someone feeling distanced from his church. Or it can simply mean taking the time to listen to a patient and perceive that there’s more to a case than meets the eye. For seven years, Mary also advocated for the development of a community health worker program in Winton Hills. As a result of her tireless efforts, the TriHealth Winton Hills Community Health Worker Program is now a reality.

Kristine Duke Jewish Hospital

Margaret McLaughlin Cincinnati Health Department

The “new rules” of nursing, which state that the patient is the source of control, are not new to Kristine Duke. As a nurse in the ICU unit at Jewish Hospital, she’s been partnering with patients – and family members – all her career. Kris, as patients and colleagues know her, exemplifies the role of patient advocate and is a model of this attribute to her co-workers. A nominator wrote, “Those young nurses lucky enough to encounter a caring, natural-born nurse-teacher like Kris will reflect back on a long career and point out that she is the reason they stayed in nursing in spite of all the difficulties.”

The ninth of 11 children, Margaret McLaughlin learned early how to deal with people and kids. She puts that knowledge to use daily as a nurse in the Cincinnati Public Schools. At one time, Margaret was a young, single mom with two small children to support, one of whom had a heart defect. She had to go on welfare to support herself and her children, but was able to obtain a scholarship to Raymond Walters College and pursue her dream of becoming a nurse. She graduated with a 3.2 GPA, and has 10 years of school health experience making a difference for children and families with many complex issues.

Loretta Hall St. Luke Hospital East

Missy Miles St. Elizabeth Medical Center

Lori Hartman Cincinnati Children’s Hospital Medical Center

Diana Moore Cincinnati Veterans Affairs Medical Center

Warm, friendly, respectful, loyal and dependable. These are a few of the adjectives that pepper Loretta Hall’s performance evaluations at St. Luke Hospital East. As a staff nurse in the nursery, she has helped many anxious first-time parents relax and enjoy the experience of learning to care for their newborn. Having taught childbirth classes since 1980, she is already familiar with many of those parents-to-be by the time they arrive at the hospital for delivery. She also chairs the Birthing Center’s Bereavement Committee and plays a major role in the health ministry performed through St. Luke at her church, Grants Lick Baptist.

As assistant nurse manager of the Emergency Department at St. Elizabeth Medical Center North in Covington, Missy Miles has a special place in her heart for the local community — especially the children. She collaborated with local businesses, law enforcement and emergency medical services to establish “Kentucky Kids Day,” full of safety tips, learning station and fun. Wrote one nominator, “The staff really appreciates that she never asks them to do something that she wouldn’t be willing to do herself.

This behavior has genuinely endeared her to the entire staff, from the housekeepers to the physicians.”

Florence Nightingale was extremely detail-oriented, keeping journals documenting every aspect of patient care. The same can be said of Lori Hartman, according to one nominator who cited her attention to detail and meticulously delivered care. Working in the Division of Home Care Services for Cincinnati Children’s Hospital Medical Center, Lori also has her eye on the big picture, touching thousands of patients’ lives in ways that only they can truly understand. A 30-year veteran of the nursing profession, Lori also takes great pride in mentoring new students and residents as they come through Home Care.

In the sensitive role of program coordinator/nurse practitioner for the HIV clinic at the VA Medical Center, Diana Moore earns praise from physicians, patients and fellow nurses. Wrote one nominator, “The patients are very comfortable discussing sensitive issues with her, and she cares for these patients with the highest degree of empathy.” One patient wrote that he has been a patient at the hospital for 10 years and “Diana has been with me every step of the way, always positive and bright, but not patronizing.”

Diana is also responsible for planning the yearly education program for the Nursing Research Committee.

Agnes Hudak Mercy Hospital Anderson

Cindy Wesolowski Cincinnati Children’s Hospital Medical Center

Agnes Hudak is busy enough in her job as charge shift lead nurse and unit educator at Mercy Hospital Anderson, serving as a mentor in addition to giving exceptional patient care and assisting co-workers. But her caring nature extends beyond the hospital’s walls, whether she’s riding her bicycle to raise money for multiple sclerosis, organizing medical first-aid tents at the Flying Pig Marathon or working at an evacuation center in New Orleans in the wake of Hurricane Katrina. Ask her about her volunteer efforts and she’ll say, “It was fun, I met so many interesting people,” and then recruit you to her cause.

Hopelessness and despair are transformed into hope and perseverance when Cindy Wesolowski interacts with a family. As an advanced practical nurse at Rockdale School-based health center, she is scheduled to work 25 hours a week but donates hundreds of extra hours a year, and has been instrumental in implementing a quality improvement asthma program. She has often said, “There are cracks in our health-care system. The VIPs are working to fix the cracks, but until that happens I’m a nurse practitioner and I will do whatever I can to keep another child from falling through the cracks.”

Florence Nightingale, “Founder of Modern Nursing,”was born on May 12, 1820, in Florence, Italy. In 1825, her parents purchased a home near Romsey, England. Despite her parents’ objections, Florence pursued her desire to be a nurse. When the Crimean War began in 1851, Florence Nightingale organized a group of nurses and took them to the battlefront in Russia. There she found that nearly half the sick and wounded soldiers were dying because of primitive sanitation methods and lack of nursing care. As a result of the nursing methods and strict sanitation she set up, the death rate greatly decreased. Upon her return to England, she started the Nightingale School of Nursing at St. Thomas Hospital, London. The opening of the school marked the beginning of professional education in nursing. Florence Nightingale died at her home in South Street, London, on Aug. 13, 1910. She was buried on Aug. 20, 1910, at St. Margaret’s Church, East Wellow, England. The tombstone reads: F.N. Born 12 May 1820 Died 13 August 1910

To learn more about Florence Nightingale, visit www.nursing.uc.edu/Nightingale.

2008 Nightingale Award Sponsors

Event Sponsor • Ethicon Endo-Surgery, Inc. Presenting Sponsors • Christ Hospital, Cincinnati Children’s Hospital Medical Center, Mercy Health Partners, Omnicare, Patheon Pharmaceuticals, Inc., TriHealth, Inc., University Hospital Benefactors • Catholic Healthcare Partners, Chemed Corporation, Edward L. Hutton Foundation Corporate Sponsors • Robert W. Baird & Co., Inc., Cardiac, Vascular & Thoracic Surgeons, Inc., Hilltop Basic Resources, Hospice of Cincinnati, Mercy Hospital Fairfield, Mercy St. Teresa, Ohio National Financial Services, Robert P. Wiwi, Jeff Wyler Automotive

0000259388 000259388A

Teresa Borders St. Luke Hospital East

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The Enquirer

May 4, 2008

Home care has become a growing trend

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Lives in: Westwood Employer: Angel’s Touch Nursing Care Age: 51 Years in nursing: 28 Education: University of Cincinnati College of Nursing Loves most about nursing: “Talking to the people (patients) and being able to give them that personal care” with her at-home patients as well as hands-on care – one patient has told her fascinating stories about his World War II experiences – and she believes it benefits the patient, too.

Being at home means patients often are more comfortable with what might be a declining health situation, and other family members seem to have an easier time staying involved when their loved one, she said.

“More and more people are trying to keep their parents or spouses at home, rather than in a nursing home,” which has created a demand for home health care nurses and agencies, said Angel’s Touch owner Bonnie Perrino. In business since 1995, Angel’s Touch employs about 50 people.

Miller is “the first person to represent our agency” when she makes her home visit assessments, and Perrino considers her to be a “compassionate and very professional nurse.”

“You read that where?”

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Great Stories Every Day.

0000258058

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Having worked in a hospital and at a doctor’s office, home health care nurse Linda Miller finds patients tend to be more relaxed when seeing a health-care professional in their own home.

She in turn finds herself “becoming family pretty quickly” – one of the pleasures, she says, of rendering care to patients in their homes.

Miller, a registered nurse, works in the office of allergist Dr. William Niemes four days a week, but she spends Thursdays, weekends and some evenings as a visiting nurse for Cheviot-based Angel’s Touch Nursing Care.

She considers home health care the wave of the future, especially as people live longer. The involvement of agencies like Angel’s Touch not only allows a patient to stay in familiar surroundings, as opposed to a nursing home, but “it gives family members a break, too,” Miller said.

“I think this is the way it’s going,” she said. “Families are really trying hard to keep a patient at home.”

When Angel’s Touch is contacted about caring for a new patient, Miller, one of four RNs employed by the agency, will make a home visit to assess the patient’s needs, whether they are skilled nursing care or just light housekeeping and some personal care.

When the skills of a registered nurse are required, she’ll return to the home.

Miller enjoys the time she can take for personal involvement

Miss a day. Miss a lot.

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About Linda Miller

Enquirer contributor

E(: 8/(2 8$C G,/*= $3' D/+,= G,/*=

E(: 8/(2 8$C G,/*= $3' #((0(3' -4@(:$+(

By Jean Kinney

To subscribe, visit Cincinnati.Com, keyword: subscribe or call 1.800.876.4500

The Enquirer

May 4, 2008

- 19

In honor of National Nurses Week, May 5th-12th and National Nursing Home Week, May 11th-17th...

to all our dedicated nurses and entire nursing home teams, for the endless amount of time and compassion that goes into the care of each and every resident that comes through our doors.

Your dedication shines!

To learn more visit us at www.carington.com

0000257696

Your commitment to â&#x20AC;&#x153;C.A.R.I.N.G.â&#x20AC;? is the core of Carington Health Systems and is reflected with the rewarding and fulfilling life experiences you provide our residents and families everyday.

20 -

The Enquirer

May 4, 2008

Drugstore clinics make access easier Convenience, low cost fuel new health trend

By Cliff Peale

cpeale@enquirer.com

When Pam Sherrill woke up on a recent Sunday morning with a sinus infection, she could have gone to an urgent-care center, or to the hospital emergency room.

Or she could have waited until Monday morning and seen her doctor.

Instead, Sherrill went to the new Take Care Health Systems clinic inside the Walgreens store on Lebanon Road in Sharonville.

After a visit with nurse-practitioner Allison Mack, she paid her $20 insurance co-pay and in less than an hour she had antibiotics from the pharmacy only a few steps away.

“It’s less expensive than an emergency room or urgent care,” said Sherrill, of Sycamore Township. “And I feel like I get better one-to-one attention.”

Retail clinics inside stores are one of the biggest trends in health care.

With patients looking for more access to medical care and many doctors’ groups struggling to expand their hours, more people are turning to facilities inside stores.

Usually staffed by a nurse-practitioner with the ability to write prescriptions, the units provide care ranging from relief from coughs and colds to flu shots to physicals for summer camps.

Services generally cost $50 to $80 and charges are spelled out in advance. Most clinics accept insurance.

The clinics have caused controversy.

In Boston, Mayor Thomas Menino waged a public campaign to limit the number of MinuteClinics inside CVS drugstores, saying the clinics “will seriously compromise quality of care.”

But with patients looking for health care when and where it’s most convenient, those concerns have not stopped the trend.

From only a few dozen clinics in 2005, there could be 1,500 by the end of this year, according to Fitness magazine.

The popularity stems from the difficulty patients have getting convenient appointments, particularly in the evening or on week-

ends.

According to the magazine, 40 percent of those visiting clinics said they would otherwise have gone to the emergency room.

It’s the latest wrinkle in a health-care delivery system under siege as patients, doctors and insurance companies struggle to control costs and maintain access.

Cheaper than the ER

Clinics also are cheaper and more efficient than sending uninsured or underinsured patients to emergency rooms, where costs are absorbed by the hospitals and perhaps passed on to paying patients.

Paula Lafranconi, a doctor at Group Health Associates in Springdale, said the clinics can be good for patients for acute conditions such as bronchitis, as long as they are referred to doctors for chronic conditions or those requiring more medical attention.

“I think patients want convenience and they want access,” she said. “In some respects, these clinics are a good thing.”

Lafranconi acknowledged the clinics could take patients away from doctors, who often are reimbursed by insurers based on how many patients they treat.

Many of the nation’s retail goliaths are getting into the business, hoping to reach an untapped portion of the crowded health-care field.

Chicago-based Walgreen Co. made a huge splash last year with the purchase of Take Care. It has opened in six stores in Greater Cincinnati and Northern Kentucky, the latest in Colerain Township, and plans to open in 10 more.

CVS is following a similar strategy with MinuteClinics, although none of those stores is open in this region yet. The world’s biggest retailer, Wal-Mart, plans up to 2,000 clinics in the next halfdozen years.

Cincinnati-based Kroger Co., with nearly 2,500 supermarkets nationwide, has been more cautious with only about 30 clinics. It has partnered with different operators for pilots in Columbus and Louisville and is working with a local doctors group in Dayton to open clinics in two stores there.

The Enquirer/Leigh Taylor

Nurse practitioner Allison Mack examines Terrell Davis, of Fairfield, at the Take Care Health Systems clinic inside the Walgreens drug store in Sharonville. From only a few dozen clinics in 2005, there could be 1,500 such clinics by the end of this year, according to Fitness magazine.

A sign outside the Walgreens store in Sharonville, announces a Take Care Health Systems clinic inside. Six have opened in Greater Cincinnati and Northern Kentucky.

Referrals to doctors

At the Take Care clinics, flu shots are $24.99 and a sports physical costs $55. The nurse practitioners encourage patients to find a doctor or other “healthcare home,” even referring them to doctors in the area, said Janie

Hague, the lead nurse practitioner for the Greater Cincinnati and Northern Kentucky market.

Nurse practitioners are trained as nurses but also get advanced training and a national certification.

The clinics are open all week and 9:30 a.m. to 5 p.m. on week-

ends. Traffic picks up on weekend afternoons and holidays, Hague said.

“People like to know what they have to pay,” she said. “It’s calming. This is a good way for them to get entry into the health-care system.”

The Enquirer

May 4, 2008

- 21

Neither snow nor rain nor …

Nurse anesthetist always ready to roll

By Rebecca Goodman

rgoodman@enquirer.com

Babies have a way of arriving in the middle of the night or during a snow storm. But their moms still need anesthesia.

Much like the fabled mail carrier, Brian J. Kasson, a certified nurse anesthetist in the labor and delivery unit at The Christ Hospital, is on the job no matter what.

On a typical day, “we do elective C-sections in the morning, which involves a spinal anesthetic and a surgery,” Kasson said. “We also provide epidurals for laboring patients so we can relieve the pain of a normal vaginal delivery. Obviously we provide this service 24/7, 365. A lot of what we do is at night and on the weekends and on holidays and on the days it’s snowing really hard and they shut the city down. I have to get to work. I’m one of those people who can’t not get to work.”

The best part about the job is “taking a bad situation, which is what labor really is when you’re in the throes of labor pain, and turning it into a good situation,” Kasson said.

Kasson, 44, of Montgomery, works for Anesthesia Associates of Cincinnati Inc., which provides

About Brian Kasson Lives in: Montgomery.

Employer: Anesthesia Associates of Cincinnati Inc. Age: 44.

Years in nursing: 22.

Education: Ohio State University; Medical University of South Carolina.

Loves most about nursing: “Doing good things for people.” services to Christ Hospital. His responsibilities include meeting patients before the surgery or procedure and formulating a plan for the anesthetic. Then he administers the anesthesia and stays with the patient throughout the surgery or labor and delivery. He monitors the patient’s vital signs, adjusts the anesthesia as needed, and takes the patient to recovery.

“What I do in labor and delivery is spinals primarily and epidural anesthetics for both labor pain and Csections,” he said.

There are about 37,000 nurse anesthetists in the country that do

30 million anesthetic procedures a year, Kasson said. Their education requirements include: a bachelor’s degree in the science of nursing or another appropriate baccalaureate degree; at least one year of experience as a registered nurse in an acute-care setting such as an intensive-care unit; and a master’s degree from an accredited nurse anesthesia education program, which takes from two to three years.

That’s a total of at least seven years of education and experience.

A Columbus native, Kasson likes that his job enables him to “implement a strong background in sciences and health care combined with doing a lot of good for people – not just society as a whole, but individual people,” he said.

“It does definitely involve a lot of

The Enquirer/Ernest Coleman

“I have to get to work. I’m one of those people who can’t not get to work,” says Brian J. Kasson, a certified nurse anesthetist in the labor and delivery unit at The Christ Hospital in Mount Auburn. long hours. There have been Christmas Eves and Christmas mornings and Thanksgivings where I’ve not been with my family. In my job, I’m helping them

form their own family. I’m bringing someone else’s baby into the world. If that means it’s 3 o’clock in the morning, when we’ve got 2 feet of snow, so be it.”

Summit Behavioral Healthcare

Nurses

SMART, CARING, SKILLED

HAPPY NURSES WEEK 2008

0000259766

You use all of your talents and we thank you!

22 -

The Enquirer

May 4, 2008

Heal hcare

ACTIVITY DIRECTOR

Certification Required

•Plan and implement daily programming for 60bed SNF •Must be motivated, self starter, organized and creative •Participate in care planning and Resident / Family care conferences.

Apply in person, fax or mail your resume to: 3995 Cottingham Drive Cincinnati, Ohio 45241 Fax: 513-563-3717 Phone: 513-563-3889 E.O.E Drug Free Workplace

Amedisys Home Health of Crestview Hills, KY is now recruiting for: Occupational Therapy Asst.

Licensed Practical Nurse RN Clinical Manager Psych RN PTA – (2) Cincy or KY Sign on Bonus all positions, Laptops, Benefits, 401k Apply online: www.amedisys.com Marcia 513-505-9847 EOE/M/F/D/V

Extendicare Health Services, Inc. is a leading provider of long-term health care, subacute and other essential health services throughout the U.S. Our goal is to be the provider of choice for post-acute care in every community we serve.

In order to provide superior and timely support to our field locations, we are seeking an Area Director Human Resources for our Ohio region. This role oversees the Human Resources function for the Ohio area to include Human Resources Planning, Recruitment and Selection, Employee Relations, Disciplinary Policy and Procedure Administration, Training, and Salary and Wage Administration.

Serves as a resource/consultant to area management ensuring that policies and procedures are clear and applied fairly and consistently. Preferred candidates will have a degree in Human Resources and at least 5 years experience preferably in longterm care or with a multisite employer.

Qualified candidates can submit their resume to: Andi Ayres, Recruiter E-Mail: aayres@extendicare.com Fax: 414-908-7204 We are an equal opportunity employer encouraging workforce diversity.

Business Office Manger

Westside Regional Medical Center located near I74 & North Bend Rd is seeking an experienced Business Office Manger. Qualifications: 3-5 yrs exp. managing a busy medical office (ASC or hospital preferred), Bachelor’s Degree required (Healthcare Administration or Accounting preferred). Please email or fax your confidential resume with salary requirements to: fax: 513-454-2544 or hr@prexushealth.com

Healthcare You see the whole person.

You know how important it is to integrate the body, mind, and spirit. We’ve seen how powerful a holistic approach to healing is and how satisfying it is for our patients and our caregivers. Join us!

Heartland Home Health Care & Hospice of Cincinnati seeks:

RN CASE MANAGER Full-time

PRN RNs & LPNs 1st, 2nd & 3rd Shifts

MANAGER OF BUSINESS DEVELOPMENT

.

Call Today

?;79.2*

"43*(4 /2,. *# 0*(4.%&)$ 0+43&2' 2. -21&.25 Professional Radiology, Inc., a large diagnostic and interventional radiology practice based at The Christ, Jewish and Ft. Hamilton Hospitals, seeks an energetic team-oriented registered nurse to work M-F in fast paced environment. Requirement 5 yrs acute care nursing exp. Critical care exp preferred. Duties include patient scheduling & education, database collection, pre-procedural care and follow up. Must be organized, have critical thinking skills & have ability to multi task.

Excellent communication and proficiency in MS Word & Excel are required. Please send resume and salary requirements to: HR Dept.

4170 Rosslyn Dr., Ste. B Cincinnati, OH 45209 or Fax to 513-527-0400 or E-mail to jchorley@mdbiz.com

To Place Your Ad Visit Cincinnati.Com, keyword: classifieds Or call 513.421.6300 or 859.578.5590

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Interested candidates may apply at the NKY office: 7388 Turfway Road, Florence KY, 41042 or send re sumes to: Human Resources Hospice of the Bluegrass 2312 Alexandria Drive Lexington, KY 40504 Fax: (859) 276-0611 E-mail: rshircliff@hospicebg.org EOE

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1001326199-01

CLINICAL COORDINATOR/RN

Full-Time ON Call RN : This position responds to all calls received during on-call hours, assesses patient needs, advises patient and family regarding care, makes visits as needed and documents/communicate actions to other members of the interdisciplinary team.

Requirements for these positions include: current KY license and a minimum of two years experience in either a medical/surgical or oncology unit.

Healthcare sales and management experience required We offer competitive wages, flexibility and a comprehensive benefits package for Full-time to include medical, dental, vision, 401(k), tuition assistance and much more!

To apply please send resumes to: arecker@ hcr-manorcare.com; Fax: 419-754-2287; Or apply online at www.hcr-manorcare.com DENTAL ASSISTANT EEO/Drug-Free Employer EXTRAORDINAIRE - FT, People. Strength.

Experienced with X-ray License.

Commitment.

North College Hill Family Practice looking for upbeat, personable person who loves to work with the public. If you have exceptional people skills and love being an assistant, please fax your resume To run your ASAP! Great Benefits including Auto Ad in Health Coverage, uniform allowance, vacation, retirement. If you the Classifieds. are interested in part time, that 421-6300 may be an option too! No Saturdays. Please fax resume to 513231-3925 DENTAL ASSISTANT EXTRAORDINAIRE- FT, Experienced with x-ray License.

Anderson area Family Practice looking for that perfect person to come join our team. Must love working with the public. Must be able to multi-task. Great Benefits including health insurance, retirement, vacation, uniforms provided. So if you have great skills and want to work full time, please fax your resume to 513-231-3925.

Hospice of the Bluegrass has the following Full Time vacancies available at its Northern Kentucky office: Registered Nurses: These positions serve as members of the interdisciplinary team and provide skilled nursing care to the terminally ill and their families in a home setting through a systematic assessment of health needs.

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IF YOU DON’T LIKE

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© 2007 CareerBuilder, LLC.All rights reserved. Sources: comScore Media Metrix, CareerBuilder Network, Oct. 2006. Oct. 2006. Corzen Inc. Based on total jobs posted in the prior 30 days. CareerBuilder.com Internal Site Statistics, Oct. 2006.

1001326458-01

Area HR Director Ohio

The Enquirer

Heal hcare

Home Health

At OMNI Home Care, we offer outstanding opportunities for career advancement, flexible scheduling and an excellent compensation & benefits package.

SIGN ON BONUS AVAILABLE • Registered Nurse • Physical Therapist • OT & OTA Hamilton, Butler, Warren, Clermont, Brown, Highland & Adams counties.

Interested candidates may fax resume to (877)471-8166 or email jobs@omnihha.com. Visit our website at w w w . omnihha.com . EOE.

Call Today

To run your Auto Ad in the Classifieds.

421-6300

INSTRUCTORS PART-TIME

LPNs Nurse Aides

SHARE your knowledge and skills with students at Kaplan College as you prepare them for successful careers in some All Shifts of America’s fastest growing fields. Right now, our expandMontgomery Care ing Allied Health program Center needs passionate instructors with 3 years industry backApply in Person at: ground to present well pre7777 Cooper Rd. pared, organized, and clear Cincinnati, OH 45242 lectures, as well as timely Call 513-793-5092 feedback to students on their Fax 513-984-2930 progress.

Appropriate or email: education/license/certificate administrator@ and hands-on experience in a lab environment required, montgomerycarecenter.com preferably in a teaching role.

MEDICAL CODING Place your classified ad & BILLING Proficiency in ICD-9, CPT, with us! Call 421-6300 or visit us online at HCPCS, DRG coding and billing/reimbursement experi- www.cincinnati.com ence in varying settings required. Special consideration will be given to applicants with CPC, CCS, RHIT or RHIA certification.

MEDICAL ASSISTING Associate’s degree, experience in all back office clinical/diagnostic areas and strong front office skills essential; CPR/First Aid/AED Instructor certification a plus. Competitive compen sation. Please e-mail resume to: jaaron@kaplan.edu.

EOE M/F/D/V.

MENTAL HEALTH PROFESSIONALS RN, LPN & PCA Due to Expansion at our Psychiatric Pavilion at the Atrium Medical Center located in Middletown, OH; Diamond Healthcare is seeking qualified healthcare staff to work in our state of the art Facility. Diamond Healthcare Corporation is a behavioral health leader, managing successful programs for more than 20 years, and currently located in 25 states. You can make the choice to be a key part of something Great! ∂ Psychiatric Nurses (RN’s) (Full-Time, Part-Time- Evening & Nights) ∂ Licensed Professional Nurse (Part time) ∂ Patient Care Assistants Diamond Healthcare offers a generous hourly rate and benefits package. Interested professionals should submit resume or visit our careers page www.diamondhealth.com for an application. Diamond Healthcare Corporation, Human Resources P.O. Box 85050, Richmond, VA 23285 Phone (800) 443-9346 Fax (804) 228-4997 e-mail: jwhite@diamondhealth.com

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Medical Assistant

FT, M-F, Sharonville location, Exp’ed Medical Asst., prefer CMA. Fast paced, demanding orthopedic office.

Duties: pt encounters, casting, injections, documentation, computer, medication refills, medical terminology. 2 yrs exp. REQUIRED. Possible evening hrs. Monday, Wednesday & Thursday.

Ability to multi-task, organized, confident individual needed.

Resumes to; HR 866-313-9107 or email: tcruey@ beaconortho.com

NURSES CARE HOME HEALTH SERVICES

Has Immediate Openings in Clermont County Area $500 SIGN ON BONUS! CNA’s, STNA’s, and Home Health Aides (with 60 hrs. of documented training or inservices), Full and Part Time available.

Medical, Dental, 401K, Monthly Gas Check. If you’re looking for a flexible schedule with the summer months approaching, please contact us.

CALL 791-0233 FAX 791-0155 NURSES CARE 9200 Montgomery Rd. Ste. 13b

Must Have Own Transportation & Full Coverage Auto Insurance

Nurse Management-RN Are you frustrated trying to locate a nurse management opportunity in a facility that has a solid, supportive nursing administrative team? Well, look no further! The Arbors at Milford, a 139-bed skilled nursing facility, is accepting applications for experienced RN’s to add to our management team. We are looking for creative individuals who have good team-building and system skills and are interested in making a sincere commitment to performance improvement.

Opportunities with Extendicare include: û Unit Manager-2 years management experience preferably in long term care û Staff Development Coordinator-must have experience in education/presentations, recruiting, interviewing and hiring; long term care experience preferred.

We’re offering an excellent salary and benefit package including paid insurance during your 90-day introductory period! Interested candidates should contact: Sherri Bryant, DON E-Mail: slbryant@extendicare.com Or apply in person at: 5900 Meadowcreek Drive Milford, OH 45150 Extendicare Health Services, Inc. is an equal opportunity employer that encourages workplace diversity.

MEDICAL ASSISTANT

Busy GI practice in Montgomery seeks an energetic medical assistant with excellent organizational and customer service skills. Travel required.

Competitive pay and excellent benefits.

Fax resume to: 513-281-1908.

MEDICAL ASSISTANT Clifton Area, EMR Centricity Exp. Req. Call 513-579-0770

Medical Staff

Butler County Imaging Center seeks full time and PRN business office staff for patient scheduling and registration. Butler County Medical Center seeks PRN RNs for 8 bed Inpatient unit for days or nights, weekend days or nights, shifts 6a -6:30p or 6p-6:30a.

BCIC and BCMC are located in the Hamilton Fairfield area.

Please submit your resume to hr@prexushealth.com or fax: 513-454-2544.

Evendale Medical Center EMC is seeking experienced RNs for our In-Patient Unit and Operating Room. The In-Patient unit requires recent In-Patient, Critical Care or ER experience. The OR RNs requires previous OR experience.

If you are interested please send your confidential resume to 513-454-2544 or email to hr@prexushealth.com or stop by and complete an application.

Supervisory Medical Technologist The VA Medical Center, Cincinnati, OH is currently recruiting for a Supervisor, Microbiology in the Pathology and Laboratory Medicine Service. This is a permanent position on first shift and applicants must be registered or registry eligible Medical Technologist. The Supervisory Medical Technologist is responsible for dayto-day supervision of all personnel, activities and overall optimal performance of the Microbiology Laboratory section. The Cincinnati VA Medical Center operates 2 campuses - Cincinnati, OH and Ft. Thomas, KY and five outpatient clinics. The benefits package includes immediate eligibility for health and life insurance, a 401K Plan, 13 days of paid vacation, 13 days of paid sick leave per year, and 10 paid holidays each year. Resumes are to be forwarded to Department of Veterans Affairs Medical Center, HRMS Attn: 05J, 3200 Vine Street, Cincinnati, OH 45220 no later than May 23, 2008. For additional information please contact Angie Johnston at (513) 475-6361.

St. Elizabeth Medical Center

Northern Kentucky Wellness Coordinator Join our Wellness Team!

Oversee the development / implementation of worksite health/wellness programs for local businesses. Bachelors degree in health or wellness related field reqd, Masters Degree preferred. At least 2 yrs exp in the design, delivery and evaluation of worksite wellness programs/supervisory and budget planning exp. Excellent interperso nal, organ/computer skills essential.

Apply on-line at

www.stelizabethjobs.com or contact Julie Townsley at

859-301-7801.

Human Resources Department 20 Medical Village Drive Suite #271 Edgewood, KY 41017 EOE

M/F/D/V

MEDICAL RECEPTIONIST Fairfield Area Medic exp.

Call 513-579-0770

Medical Records Professional Ham Co. Public Health seeks applicant to manage medical records in clinic setting. Certification plus 2 yrs. related exp. required. Nontobacco users only.

Mail resume to HR Officer, HCGHD, 250 Wm Howard Taft Rd 2nd FL, Cinti, Ohio 45219 by May 16, 2008. www.hamilton countyhealth.org EOE

Now Hiring:

DIETARY All Shifts

HOUSEKEEPING All Shifts

Also Hiring:

RNs / LPNs

ALL Shifts New Higher Starting Pay! Are you the best Nurse? Are you looking for growth? Are you bored in your current position? If you answered yes to these questions then Wellspring, Cincinnati’s Premier Nursing Community would like you to join our team. Must possess excellent communication /personal skills.

Must have current RN license in the state of OH. Competitive pay & benefits.

Send resume to: HR, Wellsprings 8000 Evergreen Ridge Dr. Cincinnati, OH 45215 or fax to: 513-948-2330 EOE M/F/D/H

OPHTHALMIC TECH

Busy NKy Ophthalmic practice is in need of a PT/FT tech. Exp preferred.

Exceptional salary w/ benefits Fax resume to 859341-4993 or apply on careerbuilder.com

Professional Coder Identify missing charges & provide educational resources to physicians where deficiencies occur. Accurate assignment of CPT&IDX coding. Monthly/Weekly reporting of findings& prepare statistical data. HS diploma or GED. 3 yrs wrk exp in physician coding & billing.

CPT & ICD-9-CM coding, teaching physician regulations, anatomy, physiology, medical terms & disease process. Possess CPC or RHIT accreditation. Proficient in Microsoft applications. Detail Oriented, Analysis Capability.

HR Manager 2830 Victory Parkway, Suite 310 Cincinnati, OH 45206 E-Mail: UIMAjobs_adm@uc.edu UIMA provides a Smoke & Tobacco Free Campus We are an Equal Opportunity Employer

Registered Nurse

Part-time, no eves. or wkends.

Oral surgery or conscious sedation exp; ACLS, White Oak area. Fax resume to P/T RN, 513-721-2398 or call Shelly at 513-721-2444 ext. 111

Registered Nurses

$4000.00 Retention Bonus Available Pinnacle Senior Care, a growing Medicare certified home health agency, with offices in Cincinnati, Dayton, Columbus, Cleveland & Youngstown, is seeking qualified RN’s, with previous home care and OASIS exp to provide visits to our patients throughout the Cinci and surrounding areas. These positions offer excellent wage plus full benefits.

Call Mary at 586-254-6788 or fax 586-254-0648.

Email: mary@vision staffinginc.com.

May 4, 2008

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RN- Unit Manager Arbors at Milford Extendicare Health Services, Inc. has an exciting opportunity at our 139bed Milford facility for an experienced RN who aspires to provide serviceoriented clinical leadership, and be a key part of our strong management team.

We are seeking a creative individual who is driven by quality care, possesses sound clinical skills, and can lead performance improvement systems. We are offering an excellent salary and benefit package. Interested candidates please apply in person at:

Paula Back Scheduling Coordinator 5900 Meadowcreek Drive Milford, Ohio 45150 Fax: 513-248-0466 Extendicare Health Services, Inc. is an equal opportunity employer REGISTERED NURSES that encourages We are seeking nursing proworkplace diversity.

fessionals who are interested in quality positions in longSOCIAL WORKER term care. You should possess keen assessment skills, and (LICENSED): first-class expertise. If these Seeking full time, licensed qualities describe you, we social worker for want you to apply at: Harborside-Florence, a 151-bed SNF, to work with residents and families of residents. Prefer LTC experience. Please forward reChesterwood Village sume to David Berringer, 8073 Tylersville Road Harborside-Florence, 7300 West Chester, OH 45069 Woodspoint Dr, Florence, (513) 777-1400 KY 41042. Ph: (859)3715731, fax: (839) 3714033.

E-mail: Registered Nurse David.berringer@sunh.com U.C. area oral surgery prac- EOE / DFWP tice. F/T, part of two nurse team. Reg. schedule, daytime hrs, no eves. or wkends. Excellent benefits including health insurance, paid time off and 401k. Fax resume to Shelly at 513-721-2398 or call 513-721-2444 ext. 111 We are currently seeking a skilled Registered Nurse that enjoys to teach and make a difference for our residents and staff.

Please send resume or apply in person to: Montgomery Care Center 7777 Cooper Road Cincinnati, OH 45242 Phone: 513-793-5092 Fax: 513-984-2930 Join our forward think-

Staff Development Nurse

RN Full Time

ing Rehab Center. We prefer an experienced RN for our Skilled Nursing facility. The position is full time with part time supervisory duties.

Hours are 11PM -7AM. We offer competitive wages & benefits.

Apply at:

Hillebrand Nursing & Rehab Center 4320 Bridgetown Road, Cinti, Ohio 45211 FAX# 513-598-2743 e-mail: staffdev@ hillebrandhealth.com RN, LPN / MDS Nurse

STNAs FT/PT All Shifts The Arbors at Milford is seeking STNAs who are interested in promoting and working in an atmosphere of compassion. The right candidates will posses excellent STNA skills and time management skills. Customer Service focus, responsiveness, excellent communication skills, respect for others, and respect for residents and co-workers is required.

Paula Back Scheduling Coordinator 513-248-1655 Fax: 513-248-0466 Or apply in person 5900 Meadowcreek Drive Milford, Ohio 45150 Extendicare Health Services, Inc. is an equal opportunity employer that encourages workplace diversity.

For LTC facility in No. KY. Call Today Medicare & Medicaid. Exp. to run your auto ad req. Fax resume to: in the Classifieds.

859-292-8923 421-6300

24 -

The Enquirer

May 4, 2008

University Hospital • Jewish Hospital Fort Hamilton Hospital • West Chester Medical Center Drake Center • Alliance Primary Care and affiliated practices

www.health-alliance.jobs