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You’ve probably heard of a win-win situation.

But how about a win-win-win-win-win situation?

That’s one way to describe St. Charles Health System’s CNA Trainee program, which provides a path to a career in patient care for caregivers in non-medical positions such as food services and housekeeping, as well as people outside the organization looking to get into health care.

CNA stands for certified nursing assistant, a position that performs important patient-centered tasks in collaboration with nurses and physicians. Recruiting and retaining CNAs has historically been a challenge for St. Charles, which is why the health system created the CNA Trainee program. Here’s why it’s a win-win-win-win-win:

  • Participants get paid a full-time wage while taking the course
  • St. Charles also pays the course tuition
  • Participants get wide-ranging, hands-on experience in various departments across the health system
  • People who complete the course are guaranteed a job with the health system
  • St. Charles fills an important CNA position with an educated, experienced person who already knows the health system’s policies, processes and culture

“We love this program because it really gives us the opportunity to develop people and it's a pipeline to bolster our workforce,” said Rebecca Berry, vice president of Human Resources for St. Charles. “It provides an opportunity for growth, development and career advancement for our caregivers, and it strengthens our organization by helping to attract and retain proven employees, which ultimately is good for our patients.”

Molly Barash loves the CNA Trainee program, too. She moved to Central Oregon five years ago, and spent four years working at a local restaurant that treated her “very well,” she said. Still, she longed to find a path to a career in health care, inspired by her experience caring for her father as he battled cancer.

“I found great value in taking care of my dad and it made me want to pursue a career in nursing,” said Barash, 31. “I don’t think there are many more important jobs than caretaking for people who are in really vulnerable states. I like to be part of the process of healing.”

Financially, though, Barash couldn’t quit her job and focus on the education she needed to work in health care. So when her advisor at Central Oregon Community College told her about St. Charles’ CNA Trainee program, she pounced on the opportunity.

“I couldn’t have done it without that (program),” said Barash, who now works in the Progressive Care Unit at St. Charles Bend. “It was my ticket to being able to move forward.”

That’s a sentiment echoed by Penelope Story, 64, who was working at an ophthalmology practice in Bend when her husband suffered a series of strokes that put him in the hospital for an extended period of time, she said. While he was there, Story watched the CNAs who cared for him and realized she would benefit both professionally and personally if she could make the move into frontline patient care.

“I thought, ‘I can do that, and it would also help me learn how to better take care of him at home,’” she said. “I saw room for growth and room for salary advancement, so it was very appealing.”

Story learned about the CNA Trainee program through an online job site, applied, was accepted and joined St. Charles in October of 2020. She still marvels at the opportunity.

“You’re employed by the health system, so you’re getting paid to go to school, and your school is paid for as well. And then you’re guaranteed a position as well when you graduate,” she said. “It’s incredible for me to think about how that really happened.”

As a bonus, Story feels she is a much better caretaker for her husband. And she’s happy working on the Medical unit at St. Charles Bend.

“I feel at home on that floor. I really and truly do,” she said. “It’s busy, don’t get me wrong. But it’s a joy to work there. I feel blessed to be a part of that staff.”

The CNA Trainee program has been so productive, St. Charles is starting a similar program for medical assistants, Berry said.

“We need more MAs to help support our physicians as they care for our patients,” she said. “It’s our hope that this new MA Trainee program will start to bring in a steady flow of excellent medical assistants to St. Charles.”

The first MA Trainee cohort starts at the end of March, and Laura Terrazas is excited to be a part of it. Currently, she is a housekeeper at St. Charles Madras, but she got a taste of patient care when she worked at a pediatrician’s office in Alabama years ago.

“I didn’t have my license or anything, but the pediatrician there was cross-training me (to work with patients) and I just fell in love with it,” she said. “The more interaction I had with the patients, the more I could feel that this was something I wanted to do.”

Terrazas, 44, intended to start her schooling in Alabama, but a move to Oregon stalled that plan. With a busy life (including kids), she had trouble finding the time to pursue the education she needed to move into patient care. But then, St. Charles announced its MA program.

“I thought, ‘That’s my door right there,’” Terrazas said. “I decided I would apply and see what happens, and I got in. I’m just so excited to see what comes next.”

At St. Charles, we believe our strength is in our people. If you’d like to work here, please visit our Careers site.

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Earlier this month, I received a phone call from U.S. Air Force Brigadier General James Cunningham (Ret.) with some surprising news.

He wanted to set up a time to meet with me because the Employer Support of the Guard and Reserve (ESGR) State Committee had chosen St. Charles Health System to receive the Pro Patria Award. It’s the highest level of award bestowed by an ESGR State Committee.

I felt both appreciative and humbled.

We at St. Charles have been so grateful for the services provided to us by the Oregon National Guard through our mass vaccination clinic and two COVID-19 surges. The men and women of the Guard left their friends, families, jobs and communities to be here for us. As I shared with Gen. Cunningham when we met in person, I don’t know if we would have made it through the Delta and Omicron surges without the Guard’s support.

He assured me that we would have made it – but it would have been messy. He also shared the story of taking his elderly parents to the Deschutes County Fair & Expo Center in Redmond a year ago for their COVID-19 vaccinations. The first time they visited, it took about two hours to complete the process. When they returned three weeks later for their second dose, it was after the Oregon National Guard had arrived to provide support. The difference was noticeable.

“It took seven minutes,” Cunningham said.

His pride in the Guard is palpable and his reasons for nominating St. Charles for this award are heartfelt and sincere. The health system has openly welcomed the Guard and has provided a place of learning and growth. We have heard from many of the men and women who have spent time with us in recent months that they are now seriously considering careers in health care because of their experiences helping others here in Central Oregon.

Knowing that those who have been called to help in a time of crisis now see the value of health care as a career is truly a gift of the pandemic.

Thank you to Gen. Cunningham for visiting St. Charles Bend and meeting with me.

Thank you to the ESGR for the Pro Patria Award – an incredible recognition.

And thank you once again to the hundreds of Guard members who helped us in recent months. As we faced unprecedented challenges, your tireless effort and willingness to tackle any task was invaluable.

It has been our honor to work alongside you.

Sincerely,
Joe

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Positive COVID-19 cases have decreased in our community, and fewer COVID-positive patients are being admitted to St. Charles’ Bend hospital. The state of Oregon ended its indoor mask requirement on March 12 and, for many, it feels like we are finally starting to put this pandemic behind us.

It is important to remember, however, that COVID-19 is still transmissible, and it is still a threat, especially to unvaccinated people. Here are some things to keep in mind as we move forward:

  • Masks are still required in health care settings. This is for your protection and the protection of our caregivers. Please be prepared to follow our masking policy when visiting any St. Charles facility.
  • The mask mandate has ended, but people may still make the choice to wear a mask in indoor public spaces such as movie theaters, grocery stores and restaurants. Please be respectful of everyone’s individual choice and comfort level with masking. You never know when someone is immune compromised or simply feels safer with the mask on.
  • We are in the process of reviewing our current visitor restrictions. For now, vaccinations are still required for most non-patients entering our facilities. Check our visitor restrictions page on the St. Charles website for the latest updates.
  • The state mandate for health care workers to be vaccinated against COVID-19 has not changed. St. Charles will continue to follow state and federal law.
  • If you have not yet been vaccinated or boosted for COVID-19, it’s not too late. Vaccination continues to be the most important tool in keeping people from being hospitalized or dying from the virus.
  • If you are feeling sick, stay home. Guidance on COVID-19 testing continues to change as we have more access to COVID-19 treatments and home testing kits. Our St. Charles website has many resources that will help you determine when a laboratory test for COVID is necessary.

Thank you for doing your part to keep our communities healthy and safe. We appreciate your support of our efforts to do the same.

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St. Charles is a great place to work full of people who care about making a difference in our community. But you don’t have to take our word for it. Hear from Amor in the Lab about why she loves working here.

Join the Family

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March 17, 2022

Network issues throughout St. Charles Health System

Starting at about 3 a.m. today, St. Charles experienced an unexpected disruption of service from its major internet provider. The outage is resulting in a loss of access to many critical systems on an intermittent basis. The outage is system-wide affecting all St. Charles facilities. 

Our Information Technology team is working to troubleshoot issues with our internet service provider. At this time there is no known cause of the outage. It is not believed to be malicious in nature. 

Thank you for your patience as we work to address the issue with our internet service provider.   

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Two years ago today, I sent out a message letting our community know that we had identified the first presumptive positive case of COVID-19 in Central Oregon. It was only the second community message related to COVID we shared -- which has been a critical communication channel between St. Charles and the people we serve for more than 700 days.  

As I reflect on all that has happened and in the many ways our world has changed over the past two years, I wanted to stop and thank you for being engaged. Every time one of these messages goes out, I am inundated with responses. It has been wonderful to know that you are reading, listening, learning and taking action based on the information we have shared.

In many ways, it is thanks to you that we have come so far.  

While we still have COVID-19 patients in the hospital, the number of positive cases continues to decrease dramatically, and it feels as though we are finally putting the Omicron variant wave behind us.   

Now that the state indoor mask mandate is lifted and we all start working our way back toward a new normal, I have just a few reminders to share:  

  • For the time being, masks will still be required in health care settings. This is for your protection and the protection of our caregivers. Please be prepared to follow our masking policy when visiting any St. Charles facility.
  • While COVID numbers remain low, people will have the choice to wear a mask in other indoor environments like movie theaters, grocery stores and restaurants. Please be respectful of everyone’s individual choice and comfort level with masking. You never know when someone is immune compromised or simply feels safer with the mask on.
  • The state mandate for health care workers to be vaccinated against COVID-19 has not changed. St. Charles will continue to follow state and federal law.
  • If you have not yet been vaccinated or boosted for COVID-19, it's not too late. Vaccination continues to be the most important tool in keeping people from being hospitalized or dying from the virus.
  • If you are feeling sick, stay home. Check our St. Charles website for current information and resources that will help you determine when a laboratory test for COVID-19 is necessary. Guidance on COVID-19 testing continues to change as we have more access to COVID-19 therapies and home testing kits.

Thank you, again, for taking the time to read and understand how your actions make a difference to our health care community. Although we’ll continue to keep the door open for further messages from the health system, it is my hope that we are entering a phase of the pandemic where the need for communication on COVID is much less frequent.   

For a behind-the-scenes look at how our caregivers have endured the past two years, please watch this short video. If you can, thank a health care worker and remind them that two years later they are still the heroes of this pandemic.  

Sincerely,  

Joe

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After an accident, such as an ankle sprain or knee injury, you can relieve pain, reduce swelling, and counteract the body’s initial response to injury with the RICE method. It’s important to perform this protocol as soon as possible after an injury to promote flexibility and healing.

What does RICE mean?

RICE stands for rest, ice, compression and elevation.

Rest

Stop using the injured body part! Protect the area, and avoid any activity that is painful or may have caused the injury. Continued activity could cause further damage.

Ice

Use ice for the first 48-72 hours after an injury. Apply ice several times a day for 20 minutes at a time, followed by one hour “off.” The cold will contract injured capillaries and blood vessels to help stop internal bleeding. Do not apply ice directly to the skin.   

Compression

Wrap the injured body part firmly with an elasticized bandage, compression sleeve, or cloth – especially when you are more active. This will help speed up healing time by reducing swelling around the injury.

Elevation

Elevate the injured body part above the level of your heart to decrease swelling and joint pain.

In addition, non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, may also help reduce your pain and swelling, and are beneficial treatments for muscular aches and pains, arthritis, and joint stiffness. If you have tried the RICE method but experience no improvement, or if you are unable to put any weight on the injured area, you should seek medical attention.

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Carpal Tunnel Syndrome – we’ve all heard of it, but what exactly does it mean? Carpal tunnel syndrome is a common condition that causes joint pain, numbness, and tingling in the hand and wrist. This happens when the main nerve running from your forearm to your hand, called the median nerve, becomes compressed. The median nerve and several tendons run through a small space in your wrist called the carpal tunnel. This nerve controls movement and feeling in your thumb and first three fingers. Pressure on the median nerve is usually the cause of carpal tunnel syndrome. Pressure may come from swelling, or anything else that makes the carpal tunnel in your wrist smaller. As the space becomes smaller, the nerve becomes compressed, and you will start to notice symptoms.

Many things can contribute to carpal tunnel syndrome, including:

  • Genetics
  • Repetitive hand use
  • Performing activities with extreme flexion or extension of the hand or wrist
  • Pregnancy, or other conditions that cause your body to retain fluid
  • Diabetes
  • Rheumatoid arthritis
  • Wrist injuries

The most common symptoms of carpal tunnel syndrome are:

  • Numbness or tingling in the thumb and first two or three fingers, but likely not your pinky finger
  • Pain that wakes you up at night, or is worse in the morning when you wake up
  • Pain or tingling that extends up the arm
  • Weakness of grip or lack of finger coordination
  • Tendency to drop things

Treatments for carpal tunnel syndrome include:

  • RICE Treatment (rest, ice, compression, elevation)
  • Stopping activities that cause pain and resting longer between activities
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to help relieve pain and reduce swelling
  • Wrist splints to relieve pressure on the median nerve
  • Steroid injections
  • If nonsurgical treatments do not relieve your pain, carpal tunnel release surgery may be recommended

Most people that have carpal tunnel syndrome will notice that their symptoms gradually worsen over time. The good news is that this condition is very treatable. It is important to be evaluated by your orthopedic surgeon in the early stages to slow or even stop the progression of carpal tunnel syndrome. The sooner you start treatment, the better your chances of preventing long-term damage to your median nerve.

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Grand Rounds - Mar. 11, 2022
"The Newest Phase of the COVID-19 Pandemic: Omicron, and Beyond"

Speaker: Diane M. Birnbaumer, MD, FACEP. Emeritus Professor of Medicine, David Geffen School of Medicine at UCLA; Senior Clinical Attending, Department of Emergency Medicine Harbor-UCLA Medical Center. .

 

 

Objectives

  1. Describe characteristics of the Omicron variant, including transmissibility and severity of illness.
  2. Detail effectiveness of available vaccines in protecting against the Omicron variant.
  3. Describe the risk of post-vaccination infections and severity of illness where cases occur.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

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Grand Rounds - Mar. 4, 2022
"Laboratory Overview and Updates"

Speaker: Bradley Bryan, MD. Laboratory medical director, SCMC-Bend; Pathologist, Central Oregon Pathology Consultants.

 

 

Objectives

  1. Identify issues for ordering of various tests (e.g. flow cytometry, peripheral smearreview, etc.).
  2. Review best practice guidelines of commonly ordered tests throughout the laboratory.
  3. Review qualifications of laboratory scientists and regulating agencies that accredit our laboratory.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

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