categories:
Body

This past week, St. Charles put out a plea to the community because our beds at all four hospitals were full. We were opening overflow spaces for patient care, canceling procedures and crossing our fingers that people would not accidentally hurt themselves over Memorial Day weekend.

Thankfully, our system was not overwhelmed by traumas, our number of hospitalized COVID patients is lower than previous weeks and, as of today, we have beds and staff available to provide acute and critical care to those in need. I would like to thank all of you who heeded the warning and stayed safe. We honestly believe it made a difference.

But the situation raised an important question from many of you: Does St. Charles have enough hospital beds and staff to serve the rapidly growing Central Oregon population?

The answer, like all things in health care, is complicated.

St. Charles has increased its hospital bed capacity in recent years. We built a new three-story wing on the Bend campus that opened in May 2019. It added 24, state-of-the-art ICU beds and 28 progressive care unit beds. The lower level is shell space for future growth. We also converted the former ICU into a short stay unit. All of these investments have been critical as we have experienced high patient volumes during the pandemic.

In recent years our team built a new hospital in Prineville and renovated and added space at St. Charles Madras. During the pandemic, we have been able to convert spaces at St. Charles Redmond to care for additional patients as well.

All of these hospital construction projects are important as we care for our communities, but they come with a hefty price tag. Every time we add hospital beds it costs millions of dollars and adds to the already high price of health care.

Not to mention that we also have to be able to staff the beds we build. Hiring health care professionals is a huge challenge nationwide. At St. Charles we have more than 600 open positions right now and are struggling, like many employers, to fill these critical roles.   

While continued physical building expansion may still be necessary, we are also focusing on creative ways to serve our patients with the right level of care in the right place at the right time. Here are just a few of the projects we have underway to ensure we are able to meet our community’s growing health care needs:

  • Investing in primary care so people have access to preventive and wellness services with a goal of keeping them out of the hospital.
  • Working with community partners on increasing post-acute care capacity in the region so when patients are ready to leave the hospital, they have somewhere safe to go for care and we can improve the overall flow of patients in and out of our hospitals.
  • Exploring cutting edge ways to provide care in environments outside traditional hospital settings so patients can receive hospital-level care without leaving the comfort of their home.
  • Continuing to offer virtual visits so people can access care in ways that are most convenient to them.

It’s also important to remember that we are still dealing with a global pandemic that has completely rocked all of our worlds. COVID-19 cases continue to take up many of our hospital beds. We also have a huge backlog of patients whose procedures have been delayed repeatedly throughout the past 15 months who are waiting to get in for care. It is going to take a while to get back to normal. Achieving 70% vaccination for our region would help us get there faster, so please get vaccinated if you’re eligible.

We may not always be in the situation we are in today in terms of the large number of people requiring hospital stays. But, I want you to know that your care is our top priority and we will continue to grow as necessary and appropriate to meet our community’s changing health care needs.

Sincerely,
Joe

Share
Body

"The St. Charles Cancer Center is one of the places I feel most safe in this world. Where the hugs, smiles and support come with a tragic and compassionate understanding of this type of life. In their eyes I experience the power of living in the moment."

 

- Cricket Campbell in her CaringBridge journal, Dec. 1, 2019

Cricket Campbell could tell the news wasn’t good before anyone even spoke a word.

“I got a mammogram and I remember these long faces coming in,” she said. “They said, ‘We need to get you in for an ultrasound right away. Like, today.’ And I was like, ‘Oh. OK.’ And so that day, I had the ultrasound, and they said, ‘We see something here.’”

That was in late August of 2019. Within days, Campbell had a diagnosis: invasive ductal carcinoma — breast cancer, which had also spread to her lymph nodes. After visiting with a series of doctors, her treatment plan was set: four months of chemotherapy, followed by a double mastectomy and, if necessary, daily radiation treatments.

“The ball was rolling pretty much out of control from that point forward,” said Campbell, a single mother of two teenaged boys. “And I don’t know how I got connected but somebody connected me with Michele (Halligan), who was my saving grace throughout my treatments.”

Halligan is a nurse navigator, which means it’s her job to meet patients when they arrive at the Cancer Center and to try to ascertain how they can help the patient on their journey toward recovery. Each patient is different, of course, but each initially receives a kit with educational materials, local resources and product samples. The kits are paid for by Sara’s Project, a St. Charles Foundation charitable fund that promotes women’s health through education, outreach, research and more.

“There are some useful things in there,” Halligan said, “but mostly they’re a way to let these people know that they are not alone, that others have gone through this before them and that we’re going to be there right beside them along the way.”

As one of her first steps, Halligan suggested Campbell visit the Cancer Center’s Integrative Therapies department, which provides patients with massage, acupuncture and Reiki, a technique that uses touch to stimulate the body’s natural healing processes. Campbell had never experienced acupuncture or Reiki, but — willing to try anything that would make her feel better — she embraced them.

"I am ready and have done everything I think I possibly could have emotionally, spiritually, mentally, and physically to get here. I am ready to get any remaining cancer OUT OF ME! … I expect it to all go very well and have been working on the recovery in my mind and heart. My Reiki session last week was the gift I needed for the next phase of this journey."

 

- Cricket Campbell in her CaringBridge journal, Feb. 25, 2020

From mid-September of 2019 through the end of February 2020, Campbell endured a grueling 20-week course of chemotherapy treatment, which she calls “a very special kind of hell.” She buoyed herself with Reiki and massage, which are funded in part by Sara’s Project.

“Really, Integrative Therapies became my lifeline,” she said. “While chemo was killing me, Integrative Therapies was helping me hold on to myself and hold on to hope.”

Campbell didn’t stop there. When she started struggling to stay balanced, she attended physical therapy sessions. To sharpen her mental and emotional facilities, she took yoga and meditation classes. After her surgery, she strengthened her body through the Ascent wellness program and participated in mindful eating exercises. Along the way, she joined a survivors’ book club that read Dr. Kelly Turner’s “Radical Remission” together, and she nourished her mind by checking books out of the Cancer Center’s library. All are funded entirely or in part by money from Sara’s Project.

“All of it is as much a piece of the puzzle as the conventional treatments,” she said. “When I talk to people about this, I tell them, ‘Get yourself aligned with someone like St. Charles because of these programs.’”

Halligan agrees. She credits the caregivers who perform Integrative Therapies with providing “an additional layer of compassion, love and support” for patients, which leads to better outcomes and healthier survivors. Campbell is clear proof of that, she said.

“She came up on the other side of this very, very strong, and now she wants to serve as a support for other women who are going through what she’s gone through,” Halligan said. “It’s very fulfilling to see her build on the courage and strength that she acquired during this process. She definitely is not the same person she was prior to her treatment.”

"I don’t know what the future holds for me, but I do know that I am alive today due to hard work and phenomenal care and compassion of those on my team who surrounded me during my treatments and still to this day."

 

- Cricket Campbell in an email to St. Charles, March 31, 2021

Since her double mastectomy and radiation treatment in 2020, Campbell has poured herself into giving back and moving forward. She started a local Facebook group for women who’ve chosen not to have breast reconstruction surgery after a mastectomy. She received Reiki training and hopes to volunteer at the Integrative Therapies center in the future. And as a way to fulfill a longtime desire to participate in the Rubbish Renewed recycled-item fashion show held annually in Bend, she has turned a bunch of items from her visits to the Cancer Center — her chemo port, hospital bracelets, post-radiation cooling pads and so on — into a variety of wearable garments.

“I have a cape made from all the cards and encouragement and letters of support I received on my journey,” she said. “It hangs on my bedroom wall now to remind me of how loved I am.”

Next week, she will participate in the 2021 Heaven Can Wait 5K run/walk, her first as a survivor. The event is a major fundraiser for Sara’s Project, and with cancer now in her rearview mirror, Campbell said she can’t miss an opportunity to support a program that has provided her with so much support over the past two years.

“I feel like I can be a better champion for Sara’s Project, having experienced so many of the good things that it makes possible. I can really share that with people now,” she said. “Those services are absolutely invaluable because they help the whole person. Because we are whole people. We are not just cells that get radiated by a radiologist. We are whole people, which includes body, mind, spirit and soul, and Sara’s Project helps ensure those essential pieces get the attention they deserve.”

NOTE: St. Charles Foundation's 2021 Heaven Can Wait 5K run/walk will be held virtually June 6-13. To register (and support Sara’s Project), click here.

Share
categories:
Body

St. Charles nurses honored with DAISY Award for outstanding, compassionate care

The following St. Charles Health System nurses have been honored with The DAISY Award for Extraordinary Nurses®, recognizing the outstanding, compassionate nursing care they provide patients and families every day:

  • Bend: Caitlin Reid, Critical Care
  • Madras: Yvonne Sullivan, ED
  • Prineville: Kaitlynn Thomasson, Medical Services
  • Redmond: Melodin Trammel, Main OR

Nominated by patients, families and colleagues, the award recipients were chosen by a committee at St. Charles.

The nurses—who represent all four St. Charles hospitals in Bend, Redmond, Madras and Prineville—were recognized with a ceremony on their respective units and presented with a certificate, a pin and a "healer's touch" sculpture by their hospital’s chief nursing officer. The DAISY honorees will also receive ongoing benefits, such as special rates for tuition and ANCC certification.

The DAISY Foundation is a not-for-profit organization that was established in memory of J. Patrick Barnes by members of his family. Patrick died at the age of 33 in late 1999 from complications of Idiopathic Thrombocytopenic Purpura (ITP), a little known but not uncommon auto-immune disease. (DAISY is an acronym for Diseases Attacking the Immune System.) The care Patrick and his family received from nurses while he was ill inspired this unique means of thanking nurses for making a profound difference in the lives of their patients and patient families.

"When Patrick was critically ill, our family experienced first-hand the remarkable skill and care nurses provide patients every day and night,” said Bonnie Barnes, FAAN, president and co-founder of The DAISY Foundation. “Yet these unsung heroes are seldom recognized for the super-human, extraordinary, compassionate work they do. The kind of work the nurses at St. Charles are called on to do every day epitomizes the purpose of The DAISY Award.”

This is one initiative of The DAISY Foundation to express gratitude to the nursing profession. Additionally, DAISY offers J. Patrick Barnes Grants for Nursing Research and Evidence-Based Practice Projects, The DAISY Faculty Award to honor inspiring faculty members in schools and colleges of nursing and The DAISY in Training Award for nursing students. More information is available at http://DAISYfoundation.org.

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

  ###

 

Share
topics in this article
categories:
Body

Nearly 15 months into this pandemic, our health system is facing a crisis.

Our hospitals are full, thanks to a surge of COVID-19 patients and an influx of people who are sick because their care has been delayed for a variety of reasons over the past year. At the same time, history tells us to expect a significant spike in trauma patients during the upcoming holiday weekend.

We have canceled surgeries, transferred patients to other hospitals and expanded patient care into spaces normally used for other things. We've brought in emergency nurses and requested more help from the state. And still, we are concerned that if someone comes in on Saturday with a severe injury or suffering from a heart attack, we may not have space to admit them to the hospital. All our beds are full. We are treating patients on gurneys in the hallways. Today, we have 15 people in the Emergency Department who are waiting for a bed to open up.

There is a line out the door at your local hospital, and it's likely to get longer.

We really need your help:

• If you haven't yet received the COVID-19 vaccine, you should continue to wear a mask and practice physical distancing, no matter what federal or state regulatory agencies have said. They are reacting to what's happening elsewhere. Here in Central Oregon, the pandemic is not over. COVID-19 is spreading rapidly and it's making younger people very sick. If you are unvaccinated, it is important for your health and safety that you distance and wear a mask. (Also, please get vaccinated. It's safe and effective. Of the 500+ COVID-19 patients at St. Charles since March 1, about 98% of them have not been fully vaccinated.)

• If you are vaccinated against COVID-19, please discuss with your unvaccinated friends and family the continued importance of masking and physical distancing, and encourage them to get vaccinated as soon as possible. At this point, you - a trusted friend or family member - is probably our best bet at convincing people to get the vaccine.

Everyone: Be smart and be safe this weekend. Minimize risk. Avoid activities that could potentially cause injury. Skip the ATV ride or the ambitious hike and enjoy the holiday close to home. I assure you, now is not the time to get hurt and have to come visit us.

• If you have an emergency, of course, do not delay care. You should still come to St. Charles, and we will do everything we can to take care of you.

On Thursday, Debbie Robinson, our chief nursing officer in Bend, said we are currently the busiest we've ever been in her time with the organization. She has worked for St. Charles for 26 years.

Again, we need your help. We appreciate anything you can do to try to ease the pressure on the health system.

Sincerely,
Joe

Share
topics in this article
categories:
Body

"Imagine you have a big cotton ball and you put a Skittle in the middle of it, and that Skittle is the cancer. You can take a picture of the cotton ball and you won’t see the Skittle. But if you cut the cotton ball into thin slices, you’re going to find that cancer."

- Stefanie, mammography technologist at St. Charles Madras, illustrating the difference between a 2D mammogram and a 3D mammogram, which provides a much clearer look at the breast and gives providers a chance to catch cancer earlier. Madras recently installed a new 3D mammography machine, bringing industry-standard breast cancer screening to Jefferson County. Read more about it here: https://www.stcharleshealthcare.org/news/3d-mammography-available-jeffe…

Share
categories:
Body

Grand Rounds - May 21, 2021
"KIDS Center and Karley's Law"

Speaker: Guitar Hanna, DO. Medical Director, KIDS Center.

Objectives

  1. Describe the resources provided by the KIDS Center
  2. Explain Karley's Law and sentinel injuries
  3. Define what imaging/orders need to be done in the ED setting

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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

Share
categories:
Body

If you’re feeling whipsawed by the COVID-19 headlines as of late, you’re not alone.

At the same time guidelines for mask wearing and physical distancing are being relaxed by the Centers for Disease Control and Prevention (CDC) and Oregon Health Authority (OHA), some hospitals—like ours—are still treating very high numbers of COVID-19 patients.

Today, we have 45 people with COVID-19 who are hospitalized in Bend, a number we haven’t seen since mid-January. To put that number into more context: Central Oregon, which represents just 5.9% of the state’s population, has 13.6% of the state’s occupied COVID-19 beds, according to our data scientists.

Even as we struggle as a health system to manage this surge—we’ve had to once again limit elective surgeries, care for hospitalized patients in areas of our hospitals where we ordinarily wouldn’t and shuffle caregivers throughout departments to ensure we have adequate staffing—the OHA announced Deschutes County will be considered “low risk” as of Friday since 65% of the 16 and older population has been vaccinated.

So, what’s going on?

Nationally, we’re seeing the number of positive COVID-19 cases and deaths trend downward at the same time we’re seeing vaccination rates slowly tick up. This is good news, and it is what prompted the CDC and some state public health agencies like the OHA to change their guidance on masks.

But locally, we’re not consistently tracking with these trends, and we think there may be two reasons why.

One, there are variants of COVID-19 circulating in our community that are more easily spread and have the potential to make people more ill. And two, a disproportionate number of people who live in Deschutes County are 50 or younger and are still unvaccinated. So, while the county boasts a 65% vaccination rate, the bulk of those vaccinations have occurred in the 50 and older population.

That means there are more than 100,000 Central Oregonians who are still vulnerable and could still be hospitalized with COVID-19. If you follow St. Charles on Facebook (and if you don’t, you should) you’ll recall seeing the below graph, which shows that between January and April, we saw a 13-year drop in the average age of our hospitalized COVID-19 patients.

So, what does this mean for you?

In the short term, it means your surgery may be cancelled. Every day our hospitals are making tough decisions to cancel surgeries to replace joints, remove cancers and fuse spines. The reality is we simply can’t afford to offer our hospital beds to anyone who isn’t very sick or injured.

In the long term, it means we need your help to end this pandemic. If you haven’t already, please—get vaccinated. Every Central Oregonian who is 12 and older is now eligible, and there are more places than ever offering vaccines, including our very own St. Charles Family Care clinics. And until more of us are vaccinated, I encourage you to keep wearing those dang masks a little longer. I know I will.

It isn’t just me asking this of you. It’s also our many caregivers who are tired, but who continue to work tirelessly to care for our community. They know you want this to be over, and believe me, so do they. In this recently released video, one of our ICU nurses said it so well:

We may be over COVID, “but COVID isn’t over us.”

Share
topics in this article
categories:
Body

If you are looking for medical literature on Ovid and want to share your search history with someone (with the library, for example, if you need some assistance), there is now an easy way to do it by using one of the new three buttons on the lower right part of the search screen:

"Ovid: Share Search History"

 

Here is what each option does:

  • Email all Search History: it generates an email that includes the search queries, a link to generate the same search history on Ovid and the search details.
  • Copy Search History Link: it generates the link to generate the search history, and it can be used to save as a bookmark or to share with someone else by different means. 
  • Copy Search History Details: it only generates the search details, without any link to Ovid, and it can then be shared with someone else by different means or just keep it in a different place. 

As an example, below you can see a search history that you can generate by clicking on this Search History Link

"Ovid Saved Search"

 

Do you need help? Contact the Medical Library.

 

Share
categories:
Body

St. Charles Family Care clinics now offering COVID-19 vaccine

BEND, Ore. – Starting today, Central Oregonians who are 12 and older—and who are already scheduled for an appointment with a provider—will have the option of receiving a COVID-19 vaccine at St. Charles’ Family Care clinics in Bend, La Pine, Madras and Prineville.

Starting May 24, most St. Charles Family Care clinics will begin scheduling appointments for COVID vaccines. Sisters and Redmond clinics will begin offering vaccinations on May 26, due to vaccine supply.

To schedule an appointment, call the location that works best for you:

Bend East Family Care Clinic
2600 Northeast Neff Road

Bend South Family Care Clinic
61250 Southeast Coombs Place

La Pine Family Care Clinic
51781 Huntington Road

Madras Family Care Clinic
480 Northeast A Street

Prineville Family Care Clinic
384 Southeast Combs Flat Road

Redmond Family Care Clinic
211 Northwest Larch Avenue

Sisters Family Care Clinic
630 North Arrowleaf Trail

 

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,600 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

                                                                        ###

Share
topics in this article
categories:
Body

Grand Rounds - May 14, 2021
"COVID and You"

Speaker: Jackie Shannon, PhD. Director for Community-Engaged Research, Knight Cancer Institute - Oregon Health and Science University.


UPDATE: Co-Administration of COVID-19 with Other Vaccines

As of Friday, May 14th, 2021 the Center for Disease Control and Prevention is now allowing Co-Administration of Vaccines:

During her Grand Rounds Presentation (linked above), Jackie Shannon, PhD, had mentioned that HPV vaccinations could NOT be administered concurrently with the COVID-19 vaccine.

COVID-19 vaccines were previously recommended to be administered alone, with a minimum interval of 14 days before or after administration of any other vaccines. This was out of an abundance of caution and not due to any known safety or immunogenicity concerns. However, substantial data have now been collected regarding the safety of COVID-19 vaccines currently authorized by FDA for use under EUA. Although data are not available for COVID-19 vaccines administered simultaneously with other vaccines, extensive experience with non-COVID-19 vaccines has demonstrated that immunogenicity and adverse event profiles are generally similar when vaccines are administered simultaneously as when they are administered alone.

COVID-19 vaccines and other vaccines may now be administered without regard to timing. This includes simultaneous administration of COVID-19 vaccines and other vaccines on the same day, as well as coadministration within 14 days. It is unknown whether reactogenicity of COVID-19 vaccine is increased with coadministration, including with other vaccines known to be more reactogenic, such as adjuvanted vaccines or live vaccines. When deciding whether to coadminister another vaccine(s) with COVID-19 vaccines, providers should consider whether the patient is behind or at risk of becoming behind on recommended vaccines, their risk of vaccine-preventable disease (e.g., during an outbreak or occupational exposures), and the reactogenicity profile of the vaccines.

If multiple vaccines are administered at a single visit, administer each injection in a different injection site. For adolescents and adults, the deltoid muscle can be used for more than one intramuscular injection.

Best practices for multiple injections include:

  • Label each syringe with the name and the dosage (amount) of the vaccine, lot number, the initials of the preparer, and the exact beyond-use time, if applicable.
  • Separate injection sites by 1 inch or more, if possible.
  • Administer the COVID-19 vaccines and vaccines that may be more likely to cause a local reaction (e.g., tetanus-toxoid-containing and adjuvanted vaccines) in different limbs, if possible.

Objectives

  1. Identify recent changes in cancer screening and incidence post COVID onset
  2. Describe the design and intent of the COVID and You survey
  3. Summarize the COVID and You findings from the complete sample and specific to three central Oregon counties
  4. Discuss how based on survey findings, how COVID has impacted cancer prevention, screening and survivorship in our state and region

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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

Share
topics in this article