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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 />

<strong>Hospital</strong><br />

(360) 417-7000<br />

Imaging<br />

(360) 565-9003<br />

Laboratory<br />

(360) 417-7729<br />

(360) 582-5550<br />

<strong>Medical</strong> Records<br />

(360) 417-7136<br />

New Family Services<br />

(360) 417-7652<br />

Nutrition Services/<br />

Diabetes Education<br />

(360) 417-7125<br />

Physical Therapy<br />

& Rehabilitation<br />

(360) 417-7728<br />

(360) 582-2601<br />

Surgical Services<br />

(360) 417-7450<br />

Volunteer Services<br />

(360) 565-9110<br />

<strong>Olympic</strong><br />

<strong>Medical</strong><br />

Physicians<br />

Klahhane Clinic<br />

(360) 565-9250<br />

Orthopaedic Clinic<br />

(360) 457-1500<br />

Primary Care Clinic<br />

(360) 452-3373<br />

Specialty Clinic<br />

(360) 582-2840<br />

Urology Clinic<br />

(360) 565-9120<br />

Womens Clinic<br />

(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 />

(360) 457-1500<br />

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