the Hospital of Today - Olympic Medical Center
the Hospital of Today - Olympic Medical Center
the Hospital of Today - Olympic Medical Center
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SUMMER 2010<br />
Living Well<br />
An Inside Look at<br />
<strong>the</strong> <strong>Hospital</strong><br />
<strong>of</strong> <strong>Today</strong><br />
Seen here: Dr. Jennifer Swanson, Dr. Ianir Divinsky,<br />
Dr. Eric Swanson, Dr. Ed Gacek, Dr. Carlos Palacio,<br />
Dr. Mark Fischer and Dr. Paul Pederson.<br />
Not pictured: Dr. Rob Gipe, Dr. Wade Austin<br />
and Dr. Rebecca Corley.<br />
<strong>Hospital</strong>ists<br />
at Your Service
FROM THE ADMINISTRATOR<br />
CONTENTS<br />
Dear Friends,<br />
We’re committed to providing you with<br />
<strong>the</strong> best possible health care. That isn’t just<br />
a statement – it’s our mission, and it’s at <strong>the</strong><br />
heart <strong>of</strong> everything we do.<br />
Since <strong>the</strong> opening <strong>of</strong> what was <strong>the</strong>n <strong>Olympic</strong><br />
Memorial <strong>Hospital</strong> in 1951, <strong>Olympic</strong> <strong>Medical</strong><br />
<strong>Center</strong> has dedicated our time and talents<br />
toward providing excellence in health care<br />
to residents <strong>of</strong> <strong>the</strong> <strong>Olympic</strong> Peninsula. Our<br />
commitment to excellence is demonstrated throughout <strong>the</strong><br />
hospital – in our dedication to invest in <strong>the</strong> latest advancements<br />
in technology and evidence-based techniques, <strong>the</strong> expertise <strong>of</strong><br />
our physicians and staff, and <strong>the</strong> variety <strong>of</strong> services we provide<br />
to meet <strong>the</strong> needs <strong>of</strong> our community.<br />
In this issue <strong>of</strong> Living Well, you can read about some <strong>of</strong> our<br />
investments and <strong>the</strong> multitude <strong>of</strong> services we <strong>of</strong>fer: From<br />
a hospitalist program dedicated to around-<strong>the</strong>-clock care<br />
(pages 4 and 5), advancements in anes<strong>the</strong>sia (page 8) and<br />
pain management in obstetrics (page 9) to electronic medical<br />
records designed to expedite your patient experience and<br />
enhance safety (page 10).<br />
Improvements in technology and technique are important<br />
parts <strong>of</strong> providing health care. Yet a medical staff committed<br />
to excellence is <strong>the</strong> single-most important part <strong>of</strong> our mission.<br />
Nowhere is this commitment more visible than in Dr. Jim Mowry<br />
and Dr. Bob Watkins, board-certified orthopedic surgeons.<br />
On pages 6 and 7, you can read about <strong>the</strong>ir outstanding<br />
dedication to providing trauma services to our community. The<br />
Washington Rural Health Association recently recognized <strong>the</strong><br />
physicians’ efforts, naming <strong>the</strong>m 2010 Outstanding Rural Health<br />
Practitioners. Please join us in thanking <strong>the</strong>se physicians!<br />
3 FMPA Takes It Downtown<br />
Help for Haiti<br />
4 What Is a <strong>Hospital</strong>ist?<br />
6 Thanking Our <strong>Hospital</strong> Heroes<br />
8 On <strong>the</strong> Forefront <strong>of</strong><br />
Advanced Anes<strong>the</strong>sia<br />
9 Great Options for New Moms<br />
10 Additional Patient Safety – EMRs<br />
Short Stay Unit at <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong><br />
Eric Lewis<br />
ADMINISTRATOR<br />
OLYMPIC MEDICAL CENTER<br />
Living Well is <strong>the</strong> <strong>of</strong>ficial publication <strong>of</strong> <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> and<br />
Clallam County Public <strong>Hospital</strong> District #2, located at 939 Caroline<br />
Street, Port Angeles, Washington 98362 • (360) 417-7000 •<br />
www.olympicmedical.org • To change your address or be removed<br />
from <strong>the</strong> Living Well mailing list, call (360) 417-7122 or e-mail<br />
bbeeman@olympicmedical.org.<br />
EDITOR: Rhonda L. Curry<br />
MANAGING<br />
EDITORS: Jeff Anderson, Bobby L. Beeman<br />
CONTRIBUTING<br />
WRITERS: Bobby Beeman, Brianne Carswell,<br />
Angelina Cebrian, Thomas Crocker,<br />
Gabrielle Fernandez, Adam Haskew,<br />
Natalie Roy, Rachel Stewart,<br />
Laura Jane Walker, Laurren Welch<br />
DESIGNER: Sherri Thornton<br />
PHOTOS: David Conklin Photography,<br />
Eric Neurath Photography, Bobby Beeman,<br />
Jeff Anderson<br />
PUBLISHER: True North Custom Publishing, LLC<br />
(800) 624-7496<br />
2 www.olympicmedical.org
Karen Thompson | Sandy Smith | Holly Wilkinson | Jodie Jones<br />
Taking Steps to Better Health<br />
Family Medicine <strong>of</strong> Port Angeles opened its new location to patients in January 2010. The Downtown Health <strong>Center</strong> is<br />
built for efficiency and quality care.<br />
Family Medicine <strong>of</strong> Port Angeles Takes It Downtown<br />
F<br />
amily Medicine <strong>of</strong> Port Angeles (FMPA) has moved to <strong>the</strong><br />
new Downtown Health <strong>Center</strong>, located at 240 West Front<br />
Street in Port Angeles. FMPA is a private-practice primary care<br />
clinic separate from <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>, but <strong>Olympic</strong><br />
<strong>Medical</strong> leases a portion <strong>of</strong> <strong>the</strong> building to provide X-ray,<br />
physical <strong>the</strong>rapy and diabetes education services.<br />
FMPA physicians designed <strong>the</strong> Downtown Health <strong>Center</strong><br />
specifically to allow more efficient patient care. The clinic is<br />
environmentally friendly and cost-effective, and it utilizes an old<br />
City <strong>of</strong> Port Angeles storage facility that had been unused for<br />
several years.<br />
<strong>Olympic</strong> <strong>Medical</strong>’s Involvement<br />
<strong>Olympic</strong> <strong>Medical</strong> is pleased to <strong>of</strong>fer X-ray, physical <strong>the</strong>rapy and<br />
diabetes education in <strong>the</strong> Downtown Health <strong>Center</strong>. A person<br />
need not be an FMPA patient to utilize <strong>the</strong> services.<br />
In addition, due to <strong>the</strong> importance <strong>of</strong> making primary care<br />
available in Clallam County, <strong>Olympic</strong> <strong>Medical</strong> supported FMPA<br />
in making its move.<br />
“We are incredibly supportive by doing what we can to ensure<br />
Clallam County residents have access to family medicine,” says<br />
Eric Lewis, chief executive <strong>of</strong>ficer, <strong>Olympic</strong> <strong>Medical</strong>. “FMPA is<br />
taking <strong>the</strong> lead not only in our community, but in <strong>the</strong> country, by<br />
creating new ways to provide efficient and effective primary care.”<br />
Help for Haiti<br />
After recognizing <strong>the</strong> medical need <strong>of</strong> people injured<br />
after <strong>the</strong> earthquake in Haiti in early 2010, local<br />
orthopaedic surgeon Margaret Baker, MD, spearheaded<br />
<strong>the</strong> effort to collect medical supplies from <strong>the</strong> local<br />
health care community.<br />
O<strong>the</strong>r participants included <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>’s<br />
surgical services department, Dr. Peter Lewis, Dr. Robert<br />
Scott, Jamestown Health Clinic, Fricks Pharmacy and <strong>the</strong><br />
local chapter <strong>of</strong> <strong>the</strong> American Red Cross.<br />
Toge<strong>the</strong>r <strong>the</strong>y ga<strong>the</strong>red and shipped three full pallets<br />
worth <strong>of</strong> medical supplies, pros<strong>the</strong>tics, vitamins and<br />
medications. Puget Sound Transfer provided a significant<br />
discount on <strong>the</strong> shipment <strong>of</strong> <strong>the</strong> items to <strong>the</strong> heart <strong>of</strong> <strong>the</strong><br />
relief effort in Miami, Florida. The OMC Foundation paid<br />
<strong>the</strong> balance <strong>of</strong> shipping costs.<br />
Dr. Margaret Baker, orthopaedic surgeon, shows <strong>the</strong> type<br />
<strong>of</strong> surgical supplies she donated to medical efforts in Haiti.<br />
www.olympicmedical.org 3
(At right) Dr. Carlos Palacio is one<br />
<strong>of</strong> 10 expert hospitalists at <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong>. He is also one <strong>of</strong> two<br />
hospitalists fluent in Spanish – important<br />
in serving our Hispanic patients.<br />
(Below) Dr. Ianir Divinsky, seen here with<br />
Christa Scott, RN, joined <strong>the</strong> hospitalist<br />
team this spring.<br />
The History<br />
<strong>of</strong> HOSPITALISTS<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> was at <strong>the</strong><br />
cutting edge <strong>of</strong> innovation and one <strong>of</strong> <strong>the</strong><br />
first rural hospitals in <strong>the</strong> U.S. to form a<br />
hospitalist team in 2000, emphasizing <strong>the</strong><br />
need to improve patient safety with<br />
24-hour in-hospital physicians.<br />
The hospitalist subspecialty took <strong>of</strong>f<br />
nationally around 1996 when Dr. Robert<br />
Wachter and Dr. Lee Goldman first used<br />
<strong>the</strong> term in a New England Journal <strong>of</strong><br />
Medicine article. Since <strong>the</strong>n, <strong>the</strong> number<br />
<strong>of</strong> hospitalists has increased dramatically.<br />
In 1999, shortly before <strong>Olympic</strong> <strong>Medical</strong><br />
started its program, about 1,500<br />
physicians practiced as hospitalists. <strong>Today</strong>,<br />
approximately 20,000 hospitalists practice<br />
in <strong>the</strong> United States, and researchers<br />
predict <strong>the</strong>re will be 30,000 by <strong>the</strong><br />
end <strong>of</strong> 2010.<br />
What Is a<br />
<strong>Hospital</strong>ist?<br />
At <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>, physicians known as hospitalists are in-house<br />
24 hours a day, seven days a week to care for hospital patients.<br />
To<br />
better meet <strong>the</strong> needs <strong>of</strong><br />
hospital patients, <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong> developed a<br />
dedicated hospitalist program 10 years<br />
ago. While many may not be familiar<br />
with <strong>the</strong> term “hospitalist,” <strong>the</strong>se are<br />
physicians who work solely in <strong>the</strong><br />
hospital caring for hospitalized patients.<br />
“Over <strong>the</strong> past 15 years,<br />
hospitalists have been <strong>the</strong> fastest-<br />
growing subspecialty <strong>of</strong> medicine,”<br />
says Edward Gacek, MD, hospitalist<br />
and board-certified internist at<br />
<strong>Olympic</strong> <strong>Medical</strong>. “Because as<br />
hospitalists we don’t have outside<br />
practices and are based only in <strong>the</strong><br />
hospital, we can devote all <strong>of</strong> our<br />
time and attention to caring for<br />
hospitalized patients.”<br />
4 www.olympicmedical.org
“We anticipate and address <strong>the</strong> unique needs<br />
<strong>of</strong> patients in a timely and compassionate manner.<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>’s hospitalist team<br />
performs daily rounds and is tasked with<br />
carefully ordering medical tests, determining diagnoses<br />
and creating comprehensive treatment plans for patients.”<br />
—Mark Fischer, MD, FACP, board-certified internist and pulmonologist<br />
at <strong>Olympic</strong> <strong>Medical</strong><br />
Mark Fischer, MD<br />
An Important Role<br />
Typically trained as internal medicine<br />
specialists, hospitalists focus on <strong>the</strong><br />
management and treatment <strong>of</strong> adult<br />
illnesses, injuries and diseases. As<br />
internists, hospitalists are equipped to<br />
manage whatever problem a patient<br />
presents with – no matter how simple<br />
or complex.<br />
“We anticipate and address <strong>the</strong><br />
unique needs <strong>of</strong> patients in a timely and<br />
compassionate manner,” says Mark Fischer,<br />
MD, FACP, hospitalist, board-certified<br />
internist and board-certified pulmonologist<br />
at <strong>Olympic</strong> <strong>Medical</strong>. “<strong>Olympic</strong> <strong>Medical</strong>’s<br />
hospitalist team performs daily rounds and<br />
is tasked with carefully ordering medical<br />
tests, determining diagnoses and creating<br />
comprehensive treatment plans for patients.”<br />
<strong>Hospital</strong>ists are knowledgeable<br />
about each hospital department.<br />
Quicker access to test results and<br />
prompt follow-up care can streamline<br />
<strong>the</strong> hospitalization and recovery<br />
process immensely.<br />
Coordinated Care<br />
The hospitalist program at <strong>Olympic</strong><br />
<strong>Medical</strong> is integral to <strong>the</strong> quality <strong>of</strong> care<br />
provided to patients.<br />
“Although hospitalists do not take<br />
<strong>the</strong> place <strong>of</strong> one’s primary care<br />
physician, we fill his or her shoes<br />
while you are in <strong>the</strong> hospital,”<br />
Dr. Fischer says.<br />
Busy rural primary care providers<br />
are now able to devote more time<br />
and attention to <strong>the</strong>ir outpatient<br />
practices and considerable<br />
responsibilities.<br />
“<strong>Hospital</strong>ists continually help<br />
bridge <strong>the</strong> gap between primary<br />
care providers, specialists,<br />
emergency care physicians and<br />
Seattle-area doctors,” adds Fischer.<br />
“We ensure patients receive <strong>the</strong><br />
most collaborative, comprehensive<br />
care possible.”<br />
<strong>Hospital</strong>ists are also available to<br />
answer many questions or concerns a<br />
patient’s family may have and can help<br />
arrange follow-up services a patient<br />
may need.<br />
“If necessary, <strong>the</strong> hospitalist<br />
also contacts <strong>the</strong> patient’s<br />
primary care physician to discuss<br />
fur<strong>the</strong>r treatment needs and<br />
help coordinate follow-up care,”<br />
Dr. Gacek says. “As a care team, we<br />
partner with your primary care<br />
physicians and o<strong>the</strong>r specialists to<br />
provide quality care from admission<br />
through <strong>the</strong> time you go home.”<br />
For more information about <strong>the</strong><br />
hospitalist program or o<strong>the</strong>r services<br />
<strong>of</strong>fered at <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>, visit<br />
www.olympicmedical.org.<br />
And <strong>the</strong> List Goes On…<br />
Patients experience many benefits<br />
from having a hospitalist manage<br />
<strong>the</strong>ir care while at <strong>Olympic</strong> <strong>Medical</strong><br />
<strong>Center</strong>, including:<br />
• Availability for discussion with<br />
family members during <strong>the</strong><br />
patient’s hospital stay and after <strong>the</strong><br />
patient is discharged<br />
• Coordinated treatment plans with<br />
primary care physicians<br />
• Familiarity and relationships with<br />
key hospital staff, including<br />
medical and surgical specialists,<br />
discharge planners, clergy and<br />
o<strong>the</strong>r employees<br />
• <strong>Hospital</strong>ists serve on <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong>’s “Rapid Response<br />
Team,” which also includes a<br />
registered nurse and a respiratory<br />
<strong>the</strong>rapist. This emergency team is<br />
called when a staff member thinks a<br />
patient’s condition may be worsening<br />
and believes urgent medical<br />
attention is needed.<br />
• More efficient hospital care<br />
• Quick response when patients<br />
need labs and tests, or when an<br />
emergency situation arises<br />
• Shorter hospital stays<br />
www.olympicmedical.org 5
Thanking Our<br />
<strong>Hospital</strong> Heroes<br />
Thanks in large part to <strong>the</strong> efforts <strong>of</strong> orthopaedic surgeons Jim Mowry, MD, and Bob Watkins, MD,<br />
patients can rely on <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> to meet <strong>the</strong>ir orthopaedic trauma care needs 24x7.<br />
The Washington Rural Health<br />
Association recently recognized Dr.<br />
Jim Mowry and Dr. Bob Watkins<br />
– who both came out <strong>of</strong> retirement to<br />
provide residents <strong>of</strong> <strong>the</strong> North <strong>Olympic</strong><br />
Peninsula with orthopaedic trauma care<br />
– as winners <strong>of</strong> <strong>the</strong> 2010 Rural Health<br />
Practitioner Award.<br />
With <strong>the</strong> Community<br />
in Mind…<br />
In order to be recognized as a Level<br />
III trauma center, <strong>Olympic</strong> <strong>Medical</strong> must<br />
meet a number <strong>of</strong> criteria – one <strong>of</strong> which<br />
requires providing 24-hour orthopaedic<br />
coverage in <strong>the</strong> emergency room (ER).<br />
Essentially, without Drs. Mowry and<br />
Watkins, <strong>Olympic</strong> <strong>Medical</strong> would not be<br />
able to maintain its status as a Level III<br />
trauma center.<br />
“Being a Level III trauma center ensures<br />
we’re able to deliver <strong>the</strong> kind <strong>of</strong> emergency<br />
care patients need here at home, ra<strong>the</strong>r<br />
than having to send <strong>the</strong>m to o<strong>the</strong>r facilities,”<br />
says Scott Kennedy, MD, chief medical<br />
<strong>of</strong>ficer at <strong>Olympic</strong> <strong>Medical</strong>. “To help us<br />
maintain this important status, Drs. Mowry<br />
and Watkins have provided coverage since<br />
June 2004. The experience <strong>the</strong>y bring<br />
to <strong>Olympic</strong> <strong>Medical</strong> allows <strong>the</strong>m to see<br />
a broad variety <strong>of</strong> patients who would<br />
o<strong>the</strong>rwise have to be transported out<br />
<strong>of</strong> our community for care.”<br />
Both physicians had retired from<br />
medicine and were enjoying o<strong>the</strong>r<br />
activities, travel and time spent with<br />
family and friends. So what motivated<br />
<strong>the</strong>m to return to active roles in<br />
practicing medicine? Read on for<br />
some insight.<br />
Bob Watkins, MD:<br />
Gaining a Different Health<br />
Care Perspective<br />
After retiring from orthopaedic<br />
surgery in 2000, Dr. Watkins began<br />
taking courses at Peninsula College<br />
in Port Angeles to pursue an interest<br />
in information technologies (IT). He<br />
applied and was accepted into an<br />
unpaid internship program in <strong>the</strong><br />
IT department at <strong>Olympic</strong> <strong>Medical</strong>.<br />
While it may seem that going from<br />
orthopaedic surgery into IT services<br />
is a drastic change, providing <strong>the</strong>se<br />
services in a hospital setting allowed<br />
Dr. Watkins to serve as a liaison<br />
between medical and IT staff members.<br />
“In <strong>the</strong> process <strong>of</strong> performing my<br />
duties, which at that time included setting<br />
up s<strong>of</strong>tware and wireless connections<br />
in <strong>the</strong> ER, I saw patients with all sorts <strong>of</strong><br />
injuries – things we could handle here –<br />
come in and be sent to a regional trauma<br />
center that manages life-threatening<br />
injuries,” says Dr. Watkins. “To get <strong>the</strong>se<br />
patients <strong>the</strong> care <strong>the</strong>y needed without<br />
leaving <strong>the</strong>ir community, I volunteered to<br />
join <strong>the</strong> medical staff.”<br />
Having been retired from orthopaedics<br />
nearly two and a half years, Dr. Watkins<br />
was supported by local orthopaedic<br />
surgeons in order to pursue a<br />
re-credentialing for certification necessary<br />
to reenter <strong>the</strong> field. Once this process was<br />
complete, he took ER on-call duties every<br />
o<strong>the</strong>r week until Dr. Mowry joined <strong>the</strong><br />
medical staff almost a year later.<br />
Dr. Bob Watkins, orthopaedic surgeon,<br />
accepts <strong>the</strong> Rural Health Practitioner Award from<br />
Washington State Department <strong>of</strong> Health Secretary<br />
Mary Selecky in March 2010.<br />
6 www.olympicmedical.org
❝“I’ve lived in this community for more than 30 years. I continue to see <strong>the</strong> same patients, <strong>the</strong>ir<br />
<strong>of</strong>fspring, <strong>the</strong>ir parents and so on, which creates special working relationships. Being able to provide<br />
members <strong>of</strong> this community with <strong>the</strong> care <strong>the</strong>y need – and being recognized for that service with<br />
this award [2010 Rural Health Practitioner Award] is a great honor and privilege.<br />
— Bob Watkins, MD, orthopaedic surgeon at <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong><br />
Jim Mowry, MD: Back to<br />
Work to Meet a Need<br />
After moving from Kirkland, Wash.,<br />
to <strong>the</strong> Port Angeles area to be closer<br />
to his grandchildren, Dr. Mowry heard<br />
through a family friend that <strong>the</strong>re was a<br />
sudden need for more orthopaedists at<br />
<strong>Olympic</strong> <strong>Medical</strong>.<br />
“Only three <strong>of</strong> five needed<br />
orthopaedic surgeons were providing<br />
call coverage at <strong>Olympic</strong> <strong>Medical</strong>, and<br />
Dr. Watkins was bearing a huge<br />
workload,” says Dr. Mowry. “I approached<br />
<strong>the</strong> hospital and <strong>of</strong>fered my services to<br />
lessen some <strong>of</strong> that burden, but since I<br />
had been out <strong>of</strong> practice for seven years,<br />
<strong>the</strong> hospital wasn’t sure how to bring me<br />
back up to speed with my certifications.”<br />
Confident that he could deliver <strong>the</strong><br />
services needed at <strong>Olympic</strong> <strong>Medical</strong>,<br />
Dr. Mowry persisted in his <strong>of</strong>fer to come<br />
on board and <strong>the</strong> hospital agreed to let<br />
him join. Like Dr. Watkins, Dr. Mowry<br />
had to be re-credentialed with pro<strong>of</strong> <strong>of</strong><br />
current competence in his field, but since<br />
he’d been out <strong>of</strong> practice several years<br />
longer, acquiring necessary certifications<br />
proved more difficult.<br />
“I tried to train with my former<br />
colleagues in Kirkland, but nothing<br />
seemed to work,” says Dr. Mowry.<br />
“Fortunately, when I went back to<br />
<strong>Olympic</strong> <strong>Medical</strong> for help, Dr. Watkins<br />
agreed to proctor me.”<br />
<strong>Medical</strong>, <strong>the</strong> two shared on-call duties<br />
with local orthopaedists, ensuring<br />
around-<strong>the</strong>-clock coverage for ER<br />
orthopaedic trauma patients.<br />
“To ensure <strong>the</strong> continuity <strong>of</strong> care for<br />
our patients, Dr. Watkins and I set up<br />
what is referred to at <strong>the</strong> hospital as an<br />
orthopaedic hospitalist program,” says<br />
Dr. Mowry. “We feel that having only<br />
one or two physicians in charge <strong>of</strong> a<br />
patient’s follow-up care can really help<br />
heighten patient comfort and yield<br />
generally better outcomes.”<br />
Although Dr. Mowry is currently on<br />
medical leave, Dr. Watkins still sees<br />
patients and has recently expanded his<br />
practice to see referrals, in addition to<br />
providing care for trauma patients.<br />
“These physicians are truly heroes<br />
in our community,” says Dr. Kennedy.<br />
“Their commitment to ensure needed<br />
coverage for <strong>the</strong> community while<br />
providing important capabilities for our<br />
local medical center goes far beyond our<br />
ability to repay <strong>the</strong>m for what <strong>the</strong>y’re<br />
doing and have already done.” “Their<br />
commitment to our hospital and <strong>the</strong>ir<br />
community goes far beyond our ability to<br />
repay <strong>the</strong>m for what <strong>the</strong>y’re doing and<br />
have already done.”<br />
To learn more about <strong>the</strong> Washington Rural<br />
Health Association’s Rural Health Practitioner<br />
Award, visit www.olympicmedical.org and click<br />
on “News & Events.”<br />
Working as a Team<br />
Once Dr. Mowry completed his<br />
updating and proctored training with<br />
Dr. Watkins and was <strong>of</strong>ficially brought<br />
onto <strong>the</strong> medical staff at <strong>Olympic</strong><br />
Eric Lewis, <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> CEO, provides Dr. Jim Mowry with a<br />
Washington Rural Health Association plaque during a board celebration for<br />
Dr. Mowry and Dr. Bob Watkins.<br />
❝“I was very flattered when I found out about <strong>the</strong> award. I really never expected anything like that to<br />
happen. It’s nice to be appreciated, but truly <strong>the</strong> most rewarding part <strong>of</strong> all this is knowing that because<br />
we <strong>of</strong>fer our service, patients in our area can receive care for almost any type <strong>of</strong> injury or illness<br />
without traveling away from home.”<br />
— Jim Mowry, MD, orthopaedic surgeon at <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong><br />
www.olympicmedical.org 7
On <strong>the</strong> Forefront <strong>of</strong><br />
Advanced Anes<strong>the</strong>sia<br />
The anes<strong>the</strong>siologist is <strong>of</strong>ten <strong>the</strong> most overlooked member <strong>of</strong> a surgical team. His or her role,<br />
however, is among <strong>the</strong> most important – to keep <strong>the</strong> patient safely sedated and comfortable.<br />
a person has surgery,<br />
a general or specialty<br />
“When<br />
surgeon performs <strong>the</strong><br />
operation, but an anes<strong>the</strong>siologist is also<br />
present to make sure <strong>the</strong> patient doesn’t<br />
feel pain,” says<br />
Pamela Bundy, MD,<br />
anes<strong>the</strong>siologist at<br />
<strong>Olympic</strong> <strong>Medical</strong><br />
<strong>Center</strong>. “In addition<br />
to ensuring <strong>the</strong><br />
patient remains<br />
asleep during<br />
procedures in which<br />
he or she is sedated,<br />
<strong>the</strong> anes<strong>the</strong>siologist<br />
Pamela Bundy, MD<br />
acts as an internist in<br />
<strong>the</strong> operating room by monitoring <strong>the</strong><br />
patient’s vital signs and making sure he or<br />
she does well throughout <strong>the</strong> procedure.”<br />
In <strong>the</strong> past decade, several advances<br />
have occurred in anes<strong>the</strong>siology that<br />
improved surgical outcomes and reduced<br />
complications associated with anes<strong>the</strong>sia.<br />
<strong>Olympic</strong> <strong>Medical</strong> is on <strong>the</strong> forefront <strong>of</strong><br />
many <strong>of</strong> <strong>the</strong>se improvements, including:<br />
➺ Pharmaceutical advances (allow<br />
patients to wake up faster and feel<br />
more alert after surgery) such as<br />
<strong>the</strong> use <strong>of</strong> prop<strong>of</strong>ol, a medication<br />
used in anes<strong>the</strong>sia to render patients<br />
unconscious. <strong>Olympic</strong> <strong>Medical</strong><br />
anes<strong>the</strong>siologists also use desflurane<br />
and sev<strong>of</strong>lurane, two inhalable<br />
general anes<strong>the</strong>tics.<br />
➺ Ultrasound-guided nerve<br />
blocks in procedures such as joint<br />
replacements and arthroscopic<br />
anterior cruciate ligament (ACL)<br />
repairs, to give patients a jump on<br />
beginning physical <strong>the</strong>rapy and<br />
rehabilitation by decreasing postoperative<br />
pain for 24 to 48 hours after<br />
a procedure.<br />
➺ Bispectral index (BIS)<br />
monitoring to measure <strong>the</strong> depth<br />
<strong>of</strong> a patient’s anes<strong>the</strong>sia and prevent<br />
him or her from waking up during a<br />
procedure, a common surgical fear for<br />
many patients.<br />
➺ Participation in a national<br />
Surgical Safety Checklist, in which<br />
<strong>the</strong> surgical team confirms <strong>the</strong> patient’s<br />
identity, allergies, surgical site or limb<br />
and o<strong>the</strong>r important information<br />
before beginning a procedure.<br />
Anes<strong>the</strong>sia and Body<br />
Temperature<br />
Anes<strong>the</strong>sia is a vital component <strong>of</strong><br />
surgery, but it interferes with <strong>the</strong> body’s<br />
temperature regulation. Surgical teams at<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> use “warming<br />
air blankets” to prevent patients from<br />
cooling <strong>of</strong>f too much during surgery,<br />
which can lead to infection and cardiac<br />
complications. <strong>Olympic</strong> <strong>Medical</strong> does<br />
well here – more than 99 percent <strong>of</strong><br />
<strong>Olympic</strong> <strong>Medical</strong> patients reach <strong>the</strong><br />
recovery room with a body temperature<br />
in <strong>the</strong> normal range.<br />
“The surgical team introduces a<br />
patient to all <strong>the</strong> personnel in <strong>the</strong><br />
operating room before administering<br />
anes<strong>the</strong>sia to put him or her at ease,”<br />
Dr. Bundy says. “At <strong>Olympic</strong> <strong>Medical</strong>,<br />
patients can count on <strong>the</strong> most up-todate<br />
anes<strong>the</strong>tic and surgical care right<br />
here in <strong>the</strong>ir hometown.”<br />
For information about surgical services at <strong>Olympic</strong><br />
<strong>Medical</strong>, visit www.olympicmedical.org<br />
and select “Services.”<br />
8 www.olympicmedical.org
An Option for<br />
Expectant Mo<strong>the</strong>rs<br />
Getting ready for a baby presents challenges, from deciding where to put <strong>the</strong> crib in your nursery to selecting<br />
where and how you want to give birth. Mo<strong>the</strong>rs coming to <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> to welcome <strong>the</strong>ir new<br />
arrivals now have ano<strong>the</strong>r option during delivery – epidural services.<br />
<strong>Olympic</strong> <strong>Medical</strong>’s obstetric<br />
(OB) pain management team<br />
is proud to <strong>of</strong>fer epidurals to<br />
women. Available all day, every day,<br />
this valuable option is giving mo<strong>the</strong>rs<br />
in Clallam County access to a wide<br />
array <strong>of</strong> pain management techniques<br />
for delivery.<br />
“Our certified registered nurse<br />
anes<strong>the</strong>tists [CRNAs] have <strong>the</strong> expertise<br />
needed to always provide <strong>the</strong> highest<br />
quality <strong>of</strong> care to patients who want<br />
an epidural – even if <strong>the</strong> patient<br />
doesn’t necessarily plan to have one<br />
in advance,” says Lorraine Wall, RN,<br />
MS, chief nursing <strong>of</strong>ficer for <strong>Olympic</strong><br />
<strong>Medical</strong>. “Whenever a patient decides<br />
she wants to use an epidural, or if it is<br />
deemed that one is needed, <strong>the</strong> option<br />
is available. We <strong>of</strong>fer a full range <strong>of</strong> pain<br />
management services for new mo<strong>the</strong>rs.”<br />
A Variety <strong>of</strong> Services<br />
In addition to <strong>the</strong> new epidural<br />
services, intra<strong>the</strong>cal and non-invasive<br />
techniques, among o<strong>the</strong>rs, are already<br />
available at <strong>Olympic</strong> <strong>Medical</strong>. The result<br />
is that mo<strong>the</strong>rs can choose <strong>the</strong> option<br />
that is best for <strong>the</strong>m, meaning mo<strong>the</strong>rs<br />
and <strong>the</strong>ir new little ones can expect an<br />
individualized experience designed to<br />
meet <strong>the</strong>ir needs.<br />
“We want women to know we’re here<br />
for <strong>the</strong>m,” explains Miriam Talley, CRNA<br />
at <strong>Olympic</strong> <strong>Medical</strong>. “A woman coming<br />
in to deliver her baby may not know her<br />
threshold to pain or her endurance level.<br />
Having an epidural option available<br />
means <strong>the</strong>se women can, at any time,<br />
take advantage <strong>of</strong> this and tailor <strong>the</strong>ir<br />
birthing experience to make it more<br />
pleasant and memorable.”<br />
We’re getting rave reviews for our<br />
OB pain management team! To learn<br />
more about our Birth <strong>Center</strong>, visit<br />
www.olympicmedical.org, click on<br />
“Services” and <strong>the</strong>n “Birth <strong>Center</strong>.”<br />
Our Certified Registered<br />
Nurse Anes<strong>the</strong>tists<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> <strong>of</strong>fers<br />
comprehensive 24-hour pain<br />
management to laboring mo<strong>the</strong>rs<br />
provided by two certified<br />
registered nurse anes<strong>the</strong>tists<br />
(CRNAs), Loren Krause and<br />
Miriam Talley.<br />
The addition <strong>of</strong> Miriam Talley, CRNA, and Loren Krause, CRNA, to our<br />
Birth <strong>Center</strong> team allows for a full range <strong>of</strong> pain management services,<br />
24 hours a day.<br />
What Is a Certified Registered<br />
Nurse Anes<strong>the</strong>tist?<br />
CRNAs represent <strong>the</strong> nation’s<br />
oldest nursing specialty, dating<br />
back to <strong>the</strong> Civil War. A CRNA<br />
today is a master’s prepared<br />
advanced practice nurse. CRNAs<br />
are qualified to provide patients<br />
with anes<strong>the</strong>tics in any practice<br />
setting and for any type <strong>of</strong><br />
surgery or procedure.<br />
www.olympicmedical.org 9
Adding a Digital Layer to<br />
PATIENT SAFETY<br />
Patient safety is a priority. That’s why <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong> utilizes electronic medical records<br />
(EMR) to provide physicians with <strong>the</strong> most<br />
accurate, immediate patient information.<br />
<strong>Olympic</strong> <strong>Medical</strong> began implementing EMR in clinics in<br />
April 2010 and will continue rolling out <strong>the</strong> new electronic<br />
tool to remaining clinics through January 2011. In addition,<br />
<strong>Olympic</strong> <strong>Medical</strong> is pleased to utilize federal grant funding to<br />
<strong>of</strong>fer EMR capabilities to clinics within our community that are<br />
not affiliated with <strong>Olympic</strong> <strong>Medical</strong>. As more physicians have<br />
access to this revolutionary documentation system, patients<br />
can expect to receive improved quality <strong>of</strong> care and enhanced<br />
safety measures.<br />
Benefits <strong>of</strong> EMR include:<br />
• Easily accessible information about patient allergies<br />
and medications<br />
• Faster delivery <strong>of</strong> laboratory and imaging test results<br />
• Point-<strong>of</strong>-care decision-making alerts for physicians<br />
• Reduced medical errors compared to paper records<br />
“EMRs are known to provide physicians and <strong>the</strong>ir practice<br />
teams with accurate and immediate patient information,” says<br />
Kathy Giuntoli, information technology specialist at <strong>Olympic</strong><br />
<strong>Medical</strong>. “The EMR tool promotes patient safety because <strong>the</strong><br />
patient’s medications and past medical history are easily<br />
reviewed during clinical decision making.”<br />
Most importantly, EMRs at <strong>Olympic</strong> <strong>Medical</strong> will improve a<br />
physician’s ability to deliver <strong>the</strong> efficient, effective care patients<br />
have come to expect.<br />
Stay up to date with <strong>the</strong> latest news at <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong>.<br />
Visit www.olympicmedical.org and click on “News & Events.”<br />
Short Stay = Back<br />
to Normal Life Faster<br />
When you are considering having<br />
surgery for an illness or injury, it’s<br />
important to know your options.<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> is committed<br />
to <strong>of</strong>fering patients convenient and safe<br />
same-day surgical procedures.<br />
The short stay unit at <strong>Olympic</strong> <strong>Medical</strong> has a variety<br />
<strong>of</strong> procedures available that do not require an<br />
overnight hospital stay, including:<br />
• Arthroscopic scope <strong>of</strong> <strong>the</strong> knee<br />
• Bladder sling (to streng<strong>the</strong>n bladder walls and<br />
reduce urinary incontinence)<br />
• Carpal tunnel (pain in <strong>the</strong> wrist) repair<br />
• Colonoscopies (screening for colorectal cancer)<br />
• Endometrial ablation (removes uterine lining to<br />
reduce uterine bleeding)<br />
• Hernia (internal organ bulges through muscle) repair<br />
“All <strong>of</strong> <strong>the</strong> procedures we <strong>of</strong>fer are less invasive,<br />
which means patients will experience a shorter<br />
recovery period and have fewer complications,” says<br />
Edie Thompson, RN, short<br />
stay manager at <strong>Olympic</strong><br />
<strong>Medical</strong>. “This allows patients<br />
to have more control and get<br />
back to <strong>the</strong>ir normal routines<br />
more quickly.”<br />
Accredited by The<br />
Joint Commission<br />
<strong>Olympic</strong> <strong>Medical</strong> strictly<br />
adheres to hospital quality<br />
and safety standards. The<br />
short-stay unit is accredited<br />
by The Joint Commission,<br />
meaning it <strong>of</strong>fers <strong>the</strong> standard<br />
<strong>of</strong> an inpatient hospital for<br />
its same-day surgery – a<br />
standard found nowhere else on <strong>the</strong> North<br />
<strong>Olympic</strong> Peninsula.<br />
If you or a loved one is considering having a<br />
surgical procedure, you don’t have to travel far to<br />
receive excellent care.<br />
“We provide <strong>the</strong> same standard <strong>of</strong> care as any urban<br />
facility,” says Thompson.<br />
For more information on <strong>the</strong> short stay unit, visit<br />
www.olympicmedical.org, select “Services” and click<br />
“Surgical Services,” <strong>the</strong>n choose “Services Overview.”<br />
10 www.olympicmedical.org
Emergency Department<br />
Expansion Update<br />
Meeting community need is top priority at <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong>. As part <strong>of</strong> this, <strong>Olympic</strong> <strong>Medical</strong><br />
is currently in <strong>the</strong> process <strong>of</strong> evaluating its emergency<br />
department, working to improve and expand emergency<br />
services over <strong>the</strong> next few years.<br />
Many areas <strong>of</strong> <strong>Olympic</strong> <strong>Medical</strong> are involved in this project,<br />
including physicians, finance and facilities personnel, nurses<br />
and o<strong>the</strong>r direct patient-care staff. This team has visited eight<br />
new emergency departments in <strong>the</strong> region to look for best<br />
practices in triage and “fast track.” At <strong>the</strong> same time, <strong>the</strong> group<br />
is looking at how a patient is moved through <strong>the</strong> emergency<br />
department from entering <strong>the</strong> hospital to admit to discharge.<br />
“Our process improvement team is looking at ways to<br />
enhance <strong>the</strong> way we move patients through <strong>the</strong> system,” says<br />
Lorraine Wall, RN, MS, chief nursing <strong>of</strong>ficer, <strong>Olympic</strong> <strong>Medical</strong>.<br />
“These conclusions will help us build <strong>the</strong> new emergency<br />
department in terms <strong>of</strong> how it will look, how it is set up,<br />
how we register and how we triage patients.”<br />
<strong>Olympic</strong> <strong>Medical</strong> is determining <strong>the</strong> type <strong>of</strong> services it will<br />
<strong>of</strong>fer in <strong>the</strong> emergency department and running projections<br />
to determine <strong>the</strong> size it will need to be to meet <strong>the</strong> needs <strong>of</strong><br />
<strong>the</strong> community for <strong>the</strong> next 10 to 20 years.<br />
“We are collecting ideas from patients, emergency room<br />
staff and people from o<strong>the</strong>r departments on what <strong>the</strong>y’d<br />
like to see in <strong>the</strong> emergency department,” says Wall. “We’re<br />
compiling a list <strong>of</strong> everything, and we’ll be sitting down with<br />
<strong>the</strong> architects to start <strong>the</strong> design at <strong>the</strong> end <strong>of</strong> this year.”<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> Foundation Donations Make a Difference!<br />
Through its various events and campaigns, <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> Foundation raises significant<br />
dollars to purchase needed medical equipment and provide for patient programs at <strong>Olympic</strong><br />
<strong>Medical</strong> <strong>Center</strong>.<br />
“We are dedicated to providing equipment and services that will bring <strong>the</strong> most benefit for<br />
patients locally,” says Bruce Skinner, executive director <strong>of</strong> <strong>the</strong> OMC Foundation.<br />
Recent donations to <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong> include:<br />
• Bariatric treatment table<br />
• Bladder scanners<br />
• Blood bank refrigeration<br />
• Blood centrifuge<br />
• Cardiac event recorders<br />
• Cardiac monitoring s<strong>of</strong>tware<br />
• Cardiology echo machine<br />
• CCU single-chamber temporary pacemaker<br />
• Endoscopy video scopes<br />
• Flexible cytoscope<br />
• Laboratory courier vehicles<br />
• Lumbar support for physical <strong>the</strong>rapy patients<br />
• Obstetrics birthing bed<br />
• Obstetrics jaundice bassinet<br />
F O U N D AT I O N<br />
• Obstetrics ultrasound equipment<br />
• Oxygen and vital sign monitors<br />
• Radiation oncology equipment<br />
• Ultrasound imaging table<br />
• Work station computers and segmentation hardware<br />
for <strong>Olympic</strong> <strong>Medical</strong> Cancer <strong>Center</strong><br />
The OMC Foundation also recently donated<br />
automated external defibrillators (AEDs) to public<br />
agencies throughout Port Angeles and Sequim – an effort<br />
to save <strong>the</strong> lives <strong>of</strong> heart attack victims.<br />
For more information on <strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong><br />
Foundation, please log on to www.olympicmedical.org and<br />
click on “Foundation.”<br />
OMC Foundation Calendar <strong>of</strong> Events<br />
Saturday, Oct. 23, 2010 – Harvest <strong>of</strong> Hope<br />
Friday-Sunday, Nov. 26 – 28, 2010 – Festival <strong>of</strong> Trees<br />
Sunday, Feb. 13, 2011 – Team OMC New Orleans<br />
Sunday, Feb. 27, 2011 – Academy Awards<br />
Sunday, May 22, 2011 – Duck Derby<br />
www.olympicmedical.org 11
<strong>Olympic</strong><br />
<strong>Medical</strong><br />
Services<br />
Find a Doctor<br />
(888) 362-6260<br />
Cancer <strong>Center</strong><br />
(360) 683-9895<br />
Cardiac Services<br />
(360) 417-7486<br />
Home Health/Lifeline<br />
(360) 417-7315<br />
(800) 452-6211<br />
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(360) 417-7000<br />
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& Rehabilitation<br />
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<strong>Olympic</strong><br />
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Physicians<br />
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(360) 565-9250<br />
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(360) 457-1500<br />
Primary Care Clinic<br />
(360) 452-3373<br />
Specialty Clinic<br />
(360) 582-2840<br />
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(360) 565-9120<br />
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(360) 417-7365<br />
939 Caroline Street<br />
Port Angeles, WA 98362<br />
Don’t let knee<br />
problems keep<br />
you from your<br />
favorite activities.<br />
<strong>Olympic</strong> <strong>Medical</strong> <strong>Center</strong><br />
<strong>of</strong>fers minimally invasive<br />
knee replacement surgery.<br />
• Smaller scar<br />
• Available for most joint<br />
replacement candidates<br />
• Less post-operative pain<br />
• Shorter hospital stay<br />
• Faster return to an<br />
active lifestyle<br />
• Available with new,<br />
low-friction joint<br />
implant technology<br />
12 www.olympicmedical.org www.olympicmedical.org<br />
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