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What is hyperglycemia?

Hyperglycemia is defined as having an excess of glucose in the bloodstream.

Causes:

  • Not enough insulin or diabetic medications or a decrease in the ability to make insulin in the body
  • Too much food or high sugar drinks, illness or stress

Symptoms:

  • Frequent urination
  • Dry skin
  • Hunger
  • Blurred vision
  • Drowsiness
  • Nausea

If you're diagnosed with hyperglycemia, call your doctor if:

  • Glucose is more than 240 mg/dL for more than 24 hours
  • You experience vomiting or diarrhea for four hours or more
  • You have severe pain of any kind
  • You have a fever of more than 101 degrees
  • You have moderate to high urine ketones (if you have been instructed on this)

Ignoring high blood glucose levels can be very dangerous. Report high blood sugars even if you are feeling well.

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BEND

St. Charles Health System: Main entrance (inside Pharmacy)
2500 NE Neff Road Bend, OR 97701
Open: M-F 9 a.m. to 7 p.m.; Sat.-Sun. 9 a.m. to 5 p.m.
Walk in main entrance, take a left and follow signs to the pharmacy.

Deschutes County Sheriff: Lobby
6333 West Highway 20, Bend, OR 97701
Open: Monday – Friday, 8 a.m. - 5 p.m.

Bend Police Department: Lobby
555 NE 15th Street, Bend, OR 97701
Open: Monday – Friday, 8 a.m. - 5 p.m.

LA PINE

Deschutes County Sheriff: Lobby
31340 U.S. Highway 97, La Pine, OR 97739
Open: Monday – Friday, 9 a.m. - 4 p.m.

La Pine Drug Mart
51600 Huntington Road, La Pine, OR 97739
Open: Monday – Friday, 8:30 a.m. - 7 p.m.
Saturday, 9 a.m. - 5 p.m.

REDMOND

Redmond Police Department: Lobby
777 SW Deschutes Avenue, Redmond, OR 97756
Open: Monday – Friday, 8 a.m. - 12 p.m. and 1 p.m. - 5 p.m.

Redmond Walgreens: Back of store
1450 S Highway 97, Redmond, OR 97756
Open: Daily, from 8 a.m. - 10 p.m.

St. Charles Redmond: Emergency Department entrance
1253 NW Canal Boulevard, Redmond, OR 97756
Open: 24 hours a day

SISTERS

Sisters Sheriff Substation: Front door
703 N Larch, Suite C, Sisters, OR 97759
Open: Monday – Friday, 8 a.m. - 12 p.m. and 1 p.m. - 5 p.m.

SUNRIVER

Sunriver Police Department: Counter drop-off
57455 Abbot Drive, Sunriver, OR 97707
Open: Monday – Friday, 8 a.m. - 4:30 p.m.
(Officer will pick prescriptions up from house. House must be inside city limits. Phone: 541-593-1014.)

TERREBONNE

Crooked River Ranch Fire and Rescue: Front door
6971 SW Shad Road Terrebonne, OR 97760
Open: 24 hours a day

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This December marks my fifth anniversary as president and CEO of St. Charles Health System.

It’s amazing how five years can feel like a long time and an instant all at once.

When I reflect on that time, I’m so proud of the milestones we have achieved as a team. I didn’t know at first that replacing our electronic health record would be a necessity. Nor did I realize right away how desperately we would need to add space to our facilities to accommodate a rapidly growing community.

Together, we have achieved so much.

The implementation of Epic as our electronic health record – a project that touched every one of our 4,500 caregivers, has advanced our ability to provide the safest possible care. We constructed and opened a new patient tower in Bend, are currently expanding our Prineville campus and completed a remodel and addition in Madras as well.

We opened a clinic in La Pine to serve our southern Deschutes County residents and are working on plans to expand cancer services in Redmond.

During my time here, we celebrated an incredible 100 years of providing care for all.

These accomplishments are just the tip of the iceberg. Every day, St. Charles caregivers save lives inside and outside of our walls – because the reality is our greatest strength is in our people.

But we couldn’t do any of it without you. Quite simply, without the support and trust of the communities we serve, these many milestones would not have been possible to reach.

Thank you for being such an important part of the past five years. I’m looking forward to what we’ll accomplish together next.

Sincerely,

Joe Sluka
President and CEO
St. Charles Health System

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(Above, Dr. Juan Tamariz of the St. Charles Pulmonary Clinic. Dr. Tamariz is one of three new permanent physicians at the clinic.)

A couple times each year, Ken Kloster gets up early, hops into his truck and begins the long journey to Central Oregon from his home west of Lakeview.

His destination? The Pulmonary Clinic at St. Charles Bend. At 82 years old, Kloster experiences shortness of breath and he was recently diagnosed with sleep apnea, so his oxygen levels drop at night. Plus, after a 46-year career as a pipefitter, he’s worried that exposure to asbestos will give him mesothelioma.

“I’ve had a couple friends die of that and it’s a horrible way to go,” he said. “So, I don’t mind coming here to keep an eye on things. This is the closest place to my home to do it, and they’ve always treated me well.”

Kloster isn’t the only one happy that St. Charles Pulmonary Clinic exists. After a tumultuous year of uncertainty and a near closure, the clinic has bounced all the way back to providing a full level of service.

“People had to trust us, because we’ve had a lot of ups and downs. It’s been a roller coaster,” said Jacob Espinoza, interim director of ambulatory specialties for St. Charles Medical Group. “Now we’re rolling at full speed and we’re ready to go.”

One of Espinoza’s primary jobs over the past several months has been to recruit new, permanent providers. Ultimately, the clinic will be staffed with four doctors and one nurse practitioner. Today, three new doctors are in Bend and seeing patients, with the fourth (and the nurse practitioner) set to join them next spring.

The three new physicians are:

  • Dr. Gregory Blair, who joined the group in April and brings with him more than 30 years of pulmonary, sleep and critical care medicine experience.
  • Dr. Ryan Nelson, who joined the group at the beginning of August after completing his fellowship in pulmonary and critical care medicine. Dr. Nelson will split time between working in the Pulmonary department and working in the Intensive Care Unit.
  • Dr. Juan Tamariz, who joined the group at the end of August. His interests are thoracic oncology, COPD and pleural diseases, and he is excited to be part of a strong medical community in a town with amazing outdoor opportunities.

With the new providers on board, the clinic has reinstituted spirometry testing in the office, as well as cardio-pulmonary exercise tests and outreach to Redmond each week. The clinic also houses St. Charles Bend’s COPD coordinator and will start a smoking cessation program by the end of the year. (A full list of services and procedures offered can be found at the bottom of this article.)

Dr. Blair called the rebirth of the clinic “exciting” and said he and his fellow providers can offer the same pulmonary services available at Oregon Health & Science University in Portland, where he practiced for 30 years. He retired at the end of 2018, but was starting to feel restless when St. Charles called and offered him a job in Bend.

So far, his favorite thing about his new job is the diversity of ailments that show up in the clinic, which he attributes to St. Charles’ enormous service area that includes much of Eastern Oregon.

“I see people from Fossil to Burns, and they’re all just amazingly happy for anything you can do for them,” Blair said. “It just feels good to know that we’re at the point where we can offer the kinds of services that will save people a lot of time and trouble, while at the same time remaining a small, cohesive group that’s focused on taking care of patients.”

For administrative staffers who’ve been with the clinic for the past year or more, the opportunity to get off the roller coaster and get back to focusing on patients is very welcome, said Miriam Bueno, supervisor of clinical operations.

“I am super excited that we have a great team that goes above and beyond to provide excellent patient care,” she said. “Everyone works hard on a daily basis to make sure the clinic is running smoothly, and we’re so glad to be here serving our community like we have for so many years.”

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St. Charles Pulmonary Clinic treats the following lung conditions and diseases:

●     Asthma

●     Chronic Obstructive Pulmonary Disease (COPD)

●     Emphysema and chronic bronchitis

●     Pulmonary fibrosis

●     Pulmonary hypertension

●     Occupational lung diseases

●     Adult cystic fibrosis

●     Other infectious lung diseases

The clinic offers the following services and procedures:

●     Inpatient pulmonary consultations

●     Spirometry

●     Pulmonary function testing

●     Pulmonary stress testing

●     Pulmonary rehab

●     Diagnostic bronchoscopy

●     EBUS bronchoscopy

●     Asthma medication, treatment planning and education

●     Smoking cessation consultations

●     Alpha-1 treatment

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When Marinus “Dick” Koning retired in 2008 after a 30-year career as a general surgeon in Redmond, he contemplated what might be the next chapter of his life’s work.

It didn’t take him long to figure it out.

Piqued by his interest in tropical diseases and disorders, Koning traveled to Ethiopia on a medical mission in 2009. Once there, he was struck by not only how many children were born with spina bifida and hydrocephalus (SBH), but also how few of them received the life-saving surgeries they needed. At the time, there was only one neurosurgeon for nearly 100 million people in the country.

Koning and his identical twin brother, Jan Koning, who is also a retired surgeon from the Nederlands, began performing operations on children with SBH at Korean Hospital in Addis Ababa. But only a small number were fortunate enough to reach the hospital in time to have the openings on their spines closed, or to have shunts placed to drain the water on their brains. Many more suffered and died.

That’s when Koning founded his nonprofit organization, ReachAnother, whose work is to expand the availability of pediatric neurosurgery in Ethiopia as well as develop a countrywide food fortification program. With the support of St. Charles Health System, which donates used surgical instruments, and many individuals in Central Oregon, ReachAnother has saved the lives of more than 5,000 babies through surgical intervention over the last decade.

“An instrument that is not acceptable here anymore because of a divot or tiny crack, in Ethiopia is worth its weight in gold,” he said. “We’ve taken thousands of dollars in instruments.”

In early November, Koning and his team traveled back to Ethiopia, where they’re now working with the government and a group of international public health experts to launch a clinical trial to fortify salt with folic acid.

In the United States, fewer than 2,000 children are born with SBH each year, according to the Centers for Disease Control and Prevention. That low number is in large part attributable to the folic acid that, since 1998, has been added to the country’s supply of enriched grain products such as bread, pasta, rice and cereal. In Ethiopia, where unfortified teff is the staple of most families’ diets, more than 40,000 children are born with the birth defect.

Folic acid prevents SBH. The problem, Koning said, is the birth defect develops before the mother is aware she’s pregnant, making it crucial that every woman have access to the vitamin.

“Salt is the only staple food that everybody uses,” he said. “I just learned from a new study that 70 percent of the world population doesn’t have access to wheat or rice or other staple food that can be fortified, so fortified salt has been one of the holy grails of nutrition science.”

But while it has been proven possible to fortify salt with folic acid, it has not yet been proven clinically effective, he said.

“Now we have to do three preliminary studies to show that it can be done and that it’s effective,” he said. “We have no question it will be effective, we just have to show it.”

Koning said the preliminary studies should be completed within the year, after which there will be a “feeding study” to determine whether women who eat folic acid see their folic acid blood levels rise to the desired level. The group will also be evaluating the country’s supply of salt and how it’s distributed to consumers, who “have to like and accept it. (Fortified salt) is a little bit differently colored.”

Koning is hopeful that within the next few years, fortified salt will be a proven method for the prevention of SBH.

“That’s not only good for Ethiopia, it’s also good for the rest of the world,” he said. “It’s amazing that people from Bend, Oregon, now have the eyes of the world focused on them to come up with this solution.”

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A warming shelter for the homeless in La Pine will be open for more nights this winter than ever before thanks to a $5,000 grant from St. Charles Health System.

In the shelter’s first year of operation — the heavy snow year of 2016-17 — it opened on nights when the forecasted temperature was 10 degrees or lower. Last year, the shelter raised that threshold to 15 degrees and was open 58 nights — more than the previous two years combined.

“One of the nice things about the (St. Charles) money is that it didn’t have any strings attached to it. That gives us the flexibility to use it for whatever we need it for,” said Chad Carpenter, pastor at Calvary Chapel, home to the shelter. “When that came in, that’s when we decided to raise our threshold to 20 degrees. That was a deciding factor for us.”

The expanded program in La Pine is just one component of a region-wide effort to not only establish warming shelters in each of Central Oregon’s communities, but also keep them open every night throughout the coldest months of the year. This year, St. Charles awarded community benefit grants to six area shelters: $5,000 for La Pine, Sisters and Prineville and $10,000 each for Madras and Redmond. Depending on needs, money has been set aside for Bend, which just found a location for its shelter.

The effort has brought together churches, existing shelters, elected officials, volunteers from the community and local businesses, said Rick Russell, president of the Faith Based Network and pastor of two churches in Madras and Redmond.

“Redmond was doing it so well, we wondered if we could take the Redmond model and bring it to Jefferson County, and we were off and running,” he said. “There was literally a meeting at Mazatlan (in Madras) where we got the county commissioners and the chief of police and the city administrator and various pastors and other interested parties in the room and said, ‘Can we do this here?’ We walked out an hour later with a pretty strong commitment from everyone that we need to do this.

“That was in July or August,” Russell said. “By Nov. 1, we were open.”

The Redmond model Russell refers to looks like this: A shelter will be open and available to anyone who needs it from Nov. 15 to March 15. Right now, it’s at Highland Baptist Church. On Dec. 8, it will move to Mountain View Fellowship. And then Feb. 16, it will move to Redmond Christian Church. It’s run by Shepherd’s House Ministries, which operates shelters for men and women in Bend.

“Both communities have a 16-foot trailer full of mattresses and cots and a coffee maker and all the stuff they need to get going for the night,” Russell said.

In La Pine, the effort to open a shelter started on Facebook, said Chad Carpenter, the program, facilities and communications director for La Pine Park & Recreation District and president of the Board of Directors for NeighborImpact. Two days later, a shelter was open, he said.

“There was no plan,” Carpenter said. “The community was just compelled by the need. Along with Sisters, it’s a little bit colder in La Pine than the rest of the region. The snow’s a little bit deeper here. Everyone knows it’s a rough place to be homeless.”

Besides their unique locations and operations, each shelter welcomes a different population of people. In La Pine, where services are scarce, the shelter has taken in a mother and three children escaping domestic violence, Carpenter said. In Madras, they get lots of people who are just passing through town on U.S. Highway 97, Russell said.

On a recent Wednesday in Redmond, the gym at Highland Baptist Church was quiet, despite 20+ residents (including two families) who had arrived for the night. A warm dinner was served and the lights were dimmed at 9 p.m. as residents settled onto their mattresses for some sleep.

Russell said some Redmond regulars often gather in a corner of the gym for a game of “street Uno” and some camaraderie.

“If you walk into any of these environments, it will feel safe and warm and hospitable,” he said. “People are tired. They’re not looking to party, they’re looking to sleep. But somewhere there’ll be people getting to know each other, and that’s a very cool thing to see. It’s more than a shelter. There’s a sense of community.”

Supporting the shelters was an easy decision for St. Charles, said Carlos Salcedo, the health system's manager of community partnerships.

“Our vision is creating America’s healthiest community, together and this aligns perfectly with that vision,” he said. “Having a place to sleep is important, especially when it’s cold. And this whole thing is not just ‘us’ but also ‘them’ —these are all networks of people working together to try to address this problem.”

For Carpenter, the shelters are about more than just a safe, warm night of sleep. They’re about human dignity and helping others when they need help.

“I’ve done nonprofit work for a long time and you always want to give people a hand up as opposed to a handout — most people,” he said. “But I’ve come to realize that people need handouts, too. On an emergency basis, people need to come in from the cold and get warm, and that’s OK, too.”

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St. Charles Health System's Community Benefit department has completed the Community Health Needs Assessments (CHNA) and accompanying Implementation Plans for each of the communities served by St. Charles.

The information presented in the following documents helped us choose the priority areas that are the focus of our regional health implementation strategy for 2023-2025: Reducing feelings of loneliness and social isolation while fostering a sense of belonging.

Deschutes County

Community Health Needs Assessment 2023-2025

Regional Health Implementation Strategy 2023-2025

Evaluacion de las necesidades de salud de la comunidad 2023-2025

Estrategia Regional de Implementación en la Salud - 2023-2025

Crook County

Community Health Needs Assessment 2023-2025

Regional Health Implementation Strategy 2023-2025

Evaluacion de las necesidades de salud de la comunidad 2023-2025

Estrategia Regional de Implementación en la Salud - 2023-2025

Jefferson County

Community Health Needs Assessment 2023-2025

Regional Health Implementation Strategy 2023-2025

Evaluacion de las necesidades de salud de la comunidad 2023-2025

Estrategia Regional de Implementación en la Salud - 2023-2025

Full Survey

Download the 2023-2025 survey

Prior Years

View and Download CHNA from prior years

If you would like to provide any comments regarding any of these documents, please send an email to [email protected].

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Rural Medicine

 

We are looking for providers that want to make a difference in the lives of our rural Central Oregon patients. Community-minded and compassionate, the ideal candidate will have a passion for rural medicine, with the desire to invest long-term in a small community.

As members of St. Charles Medical Group, our rural providers enjoy the stability and support of being connected to a larger, integrated team of physicians, nurse practitioners and physician assistants. As providers of rural medicine, they have the opportunity to practice broad spectrum medicine and regularly treat patients that would likely go to specialists in a metro setting.

A career in rural medicine is not right for everyone. But if you desire to live, work and play in a small community alongside your patients, if you are looking for work that is challenging and never boring, if you long to practice full spectrum medicine with generations of families, then it might be right for you. Apply for your dream rural medicine job with us today.

Discover more about Central Oregon

Start your reality here today!

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It’s not a dream. We really get to live and work here. And we invite you to join us.

In Central Oregon, mountains, rivers, forests and high lakes abound, offering amazing recreational opportunities for adventurous souls. Plus countless craft beer pubs, cozy local restaurants and fun events every weekend only add to the charm of this place we call home.

Discover more about Central Oregon

Another characteristic that defines our region is exceptional medical care. With hospitals in Bend, Redmond, Madras and Prineville and multiple outpatient clinics, we are the largest employer in Central Oregon and we are currently looking for nurses and rural medicine providers.

You can have the career of your dreams and outdoor activities just beyond your door, all while being part of a vibrant, family-friendly community. We offer nation-leading pay, excellent benefits, sign-on bonuses and relocation assistance for qualified candidates. 

Your dream job awaits. Start your reality here today.

Nursing Careers    Rural Provider Careers    Certified Nursing Assistant Careers

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It's not a dream

We really get to live and work here. And we invite you to join us.

As Central Oregon grows, we are seeking RNs to help us pursue our vision of creating America’s healthiest community, together. As a local non-profit organization, St. Charles Health System is the largest provider of medical care in Central Oregon. Whether you’re looking for a career where you can learn the latest technology or you desire a role where you can gain experience in multiple areas, our four hospitals have something for everyone.

At St. Charles, we are continually growing our scope of services, facilities and technology. We use evidence-based practices to improve our services and offer the latest advancements in medicine. Our nursing teams are culturally inclusive, focused on holistic patient-centered care and dedicated to promoting nursing excellence. Join this enthusiastic and highly skilled team today!

Search Open Nursing Jobs

Connect with a Nursing Recruiter


Ask a Nurse Recruiter

Nurse recruiter, Cindy Sjostrand, RN.

Ask a Nurse Resident

Dakota Johnson, RN, Redmond Emergency Department.

Ask a Nurse Leader

St. Charles Chief Nursing Officer, Joan Ching, RN.

Ask a Nurse Manager

Kelli Jo Hammack, RN, St. Charles Madras.


Work in a Variety of Areas

Critical Care Services

Critical care services feature high-level multi-specialty trauma teams, an advanced cardiothoracic program and a Gold Plus stroke center that provide patient-centered care to a service area covering 38,000 square miles. Providing state-of-the art care, our critical care departments also include intensive care units, an intermediate care unit, a progressive care unit and critical care float teams.

Perioperative Services

Perioperative and cardiovascular services comprise a variety of departments including medical diagnostics, operating rooms, a short stay unit, peri- and post-anesthesia, pre-surgery, and cardiac catheterization, electrophysiology and interventional radiology labs. These teams provide specialized care to patients throughout their surgical and procedural experience. As an organization, St. Charles is committed to incorporating advanced, minimally invasive surgical methods into our practices.

Acute Care Services

Acute care services includes our medical, surgical, orthopedic, neurologic, behavioral health and medical surgical float teams. Expert care is provided across the continuum as our patients rely on us to meet them wherever they are on the spectrum of health. We are a Joint Commission-designated Stroke Center of Excellence and carry the distinction of being a designated MBSAQIP-accredited bariatric surgery center. We provide inpatient rehabilitation services with a team of dedicated caregivers to help move patients forward in their journey to better health.

Women and Children’s Services

Our St. Charles Bend and St. Charles Madras Family Birthing Centers follow breast feeding-friendly guidelines. In our Family Birthing Centers, patients are cared for by a dedicated care team of specially trained nurses, OB providers, certified nurse midwives and certified lactation nurses. We are committed to giving babies the best possible start in life through the promotion and education of breast feeding and mother/infant bonding.

Level III Neonatal Intensive Care Unit:


As the only Level III NICU in our 38,000-square mile service area, we provide expert care for fragile newborns from our Family Birthing Centers as well as babies transferred from hospitals across Central and Eastern Oregon.

Emergency Department

Our Emergency departments provide 24/7 specialized care to patients during their emergency visit through discharge or hospitalization. St. Charles Bend is a Level II Trauma Center, which serves as our regional trauma center and the only trauma center east of Oregon’s Cascade Mountains. The Emergency Departments at St. Charles Redmond, St. Charles Prineville and St. Charles Madras serve surrounding communities as Level IV Trauma Centers.

Search Open Nursing Jobs

Connect with a Nursing Recruiter