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Published by corey.rodgers, 2017-09-01 11:02:03

CSU August 2017 Newsletter

2017 August Newsletter

August 2017

Clinton Service Unit

Inside this issue: Fulfilling the Indian Health Service Mission

Concho Pow-Wow 2 “To raise the physical, mental, social and spiritual health of
American Indians and Alaska Natives to the highest level”
Breastfeeding 3
Earlier this year Acting Director of the Indian Health Service (IHS), RADM Chris Buchanan, challenged all
Charging Stations 3 IHS to read and commit to memory the IHS Mission statement. To this end, RADM Kevin Meeks, Oklahoma
City Area Director has challenged everyone in the Oklahoma City Area to 1) memorize the mission state-
ACA Outreach 4 ment, 2) lead each meeting by stating the mission statement, 3) internalize the message of the mission
statement and how it relates to our every day work.
Stop Bullying 5
The Clinton Service Unit (CSU) has taken these requests to heart. Following RADM Meeks example, we
POP Stars 6 started committing the statement to memory and opening our meetings with it. In national and regional IHS
trainings and conferences as well as local IHS meetings, RADM Meeks has put our efforts to the test and
Back to School 7 called on Oklahoma City Area staff and leadership to recite the mission to the attendees. I’m proud to say
our staff haven’t let him down.
Flu Vaccine 8

New Employees 9

STI 11

Our service unit is committed to providing the best quality patient care. Sometimes revisiting the mission,
the “why we do what we do”, is necessary to help refocus on what is important, “Our patients.” Just being able to recite the mission is
not sufficient. I have challenged our executive leaders, supervisors, and department directors to think about how their daily work relates
to and supports the IHS mission. I asked the leadership to explain to me one way their department, staff or work supports the mission. I
have asked them to share at least one task, project, or activity they are most proud of that exemplifies the intent of the mission. I want
our mission to be more than just a statement committed to memory, but a challenge to all of our service unit staff, to internalize the
mission, find meaning in our very important work providing the best care for our patients, our family, friends and coworkers in IHS.

As part of the focus on meeting the mission, CSU Newsletter will have a section titled, “Fulfilling our Mission,” which will highlight a
CSU employee sharing what the IHS mission means to them and how the work they are doing pushes us closer to meeting it. Every
day I am proud to say I hear amazing stories of our employees going “above and beyond” in their commitment to our patients and com-
munities and CSU will share more of those stories each month in our CSU newsletter.

In closing, I want to thank our staff for truly being the best IHS has to offer. I am honored by their commitment and dedication to the
important work we do and I am humbled by their daily efforts to “Exceed the Needs” of our patients.

Sincerely,

April Wazhaxi, CEO
Clinton Service Unit

Fulfilling our Mission

It means fulfilling a promise I made to my maker and myself. That I would help people with care, kindness, dignity and
respect. There was a time I needed the care and the care I received was less than adequate. No choices given, no ques-
tions answered and no hope offered.
Now it is my turn to make a difference. I advocate and teach until all are empowered with understanding and the
knowledge to make the best possible choices for themselves. I truly believe that when a patient are informed, they do
better and they make better choices that leads to a healthier lifestyle and an overall happier life.
I absolutely love doing what I DO. Working for IHS has allowed me to help people, empower them to take care of their
own health and affect their lives when they need it the most.

Julie Hoover, RN

Purchased/Referred Care Supervisor

Concho Summer fest/Powwow

Rita Hunnicutt Delana Panana, Dental
Public Health Nursing Leslie Panana, Purchased/Referred Care

The Clinton Service Unit was well represented at the recent Concho Summer fest/Powwow Health Fair held on August
5, 2017 in Concho, Oklahoma. We are thankful for the dedication and service provided during the event.

 Rita Hunnicutt, Clinton Public Health Nurse, and Niki Baker, El Reno Public Health Nurse, kept busy filling up wa-
ter bottles. When the participants drank 5 bottles of water, they were rewarded with a T-Shirt courtesy of the Chey-
enne and Arapaho Tribes Health Education/M-Power Program.

 Rachel Colvin, CSU Patient Advocate, and Leslie Panana, Purchased/Referred Care, were both available to an-
swer questions regarding services within the service unit and Purchased/Referred Care.

 Delana Panana & Elverna Spottedwolf from the Clinton Service Unit Dental Department also handed out over
200 toothbrushes to the many participants.

Page 2

Breastfeeding is a Special Joy!

By Susan Bedwell, Public Health Nurse

It is believed that mothers breastfeed for baby’s sake. Yes, breastfeed-
ing offers wonderful benefits to baby. Studies show breastfed babies are
healthier, with fewer digestion issues and are less allergic. They receive
increased immunity and grow up to have higher IQs.

Mother’s often choose to breastfeed because they like it! Breastfeeding
allows mother and baby to share a close and special bond, allowing her
to provide something for baby no one else can. It promotes healing and
weight loss after having a baby. It is always ready and costs much less
than formula.

There are many things mothers can do to improve the success of breastfeed-
ing. The Public Health Nurses (PHN) at CSU are trained lactation counselors
and are available to assist clients. PHNs can come to your home, answer ques-
tions, and provide hands on assistance with breastfeeding. For questions on
breastfeeding, please call the PHN department at Clinton, 580-331-3300; at El
Reno, 405-234-8400 and at Watonga, 580-623-4991.

The picture to the right is our lactation room at the Clinton Indian Health Center.

Cell Phone Charging Stations

It’s happened to most all of us, we’re expecting
an important call or need to get ahold of our
loved ones and our cell phone dies. CSU is
pleased to now provide cell phone charging sta-
tions located in patient waiting rooms throughout
the clinic. Guests will now be able to stay
charged and ready, so they may stay in touch
with family and friends, listen to music, read an
eBook, or get some work done while at our facili-
ties.

Charging stations are located in in Clinton in the
Outpatient waiting room, Optometry waiting room
and the Dental waiting room.

*Free Wi-Fi is available with the completion of
a Service Unit Survey.

Page 3

Page 4

STOP BULLYING
With school approaching, our children may be exposed over time. Bullying can take many forms, such as hitting

to bullying. The information below will help better edu- or punching (physical bullying); teasing or name-calling

cate and provide an understanding on the effects of bul- (verbal bullying); intimidation using gestures or social

lying, and how an individual can overcome the effects. exclusion (nonverbal bullying or emotional bullying); and

Bullying has a negative effect on the social environment sending insulting messages by phone or computer email
of schools, creates a climate of fear (cyberbullying).

among students, inhibits the ability to Effects of bullying can have serious

learn, and leads to other antisocial be- consequences. Children and youth

havior. Other detrimental effects of bul- who are bullied are more likely than

lying include an impact on school safe- other children to be depressed, lonely,

ty, student engagement, and the overall or anxious; have low self-esteem; be

school environment. absent from school; feel sick; and/or

Bullying is dangerous because if left think about suicide.
unattended it can rapidly escalate into
even more serious violence and abuse. If your child is being bullied, first, focus
Just as you have gateway drugs, bully- on your child. Be supportive and gather
ing is gateway behavior. Too often it is the first step information about the bullying. Contact
down the road to one of the tragic incidents of school your child’s teacher or principle, and help your child be-
violence we all have watched in horror on the evening come more resilient to bullying. Being able to resolve
news. conflicts peacefully by respecting yourself and others will
assist students in dealing with teasing, gossiping and
Bullying among children is aggressive behavior that is cliques, that can lead to bullying.
intentional and that involves an imbalance of power or
strength. A child who is being bullied has a hard time For further information on bullying, visit:
defending himself or herself. Usually bullying is repeated www.stopbullying.gov or
www.oklahomastatedepartmentofeducation.gov

From the Mailbag...

“They are efficient and very professional, and friendly”. ~Clinton Patient
“I am so thankful for Clinton IHS”, said Clinton Patient. “Dr. Gregory is an absolutely
awesome one-of-a-kind doctor! Unfortunately, he is retiring, but I trust IHS will con-
tinue the awesome care they have provided so far. Dr. Palerino is the best dentist and

PRC is on top of their game too! Thank you again for everything you do!”

Page 5

CSU “POP” Stars

Personal Outstanding Performance

The “POP” Award recognizes CSU employees who exhibit “Personal Outstanding Performance”.
It is designed to encourage and acknowledge employees for their everyday
efforts and customer service.

Congratulations to all of our POP Stars!

Clinton Pharmacy

“While entering a prescription into the system, Pharmacists Kasey Badgett and Roger Davis discovered a discrepancy in a patients
prescription that was ordered from an outside emergency room (ER)”, said Narcisso Soliz, chief of pharmacy. “The drug dosage
from the order did not match the directions provided and the dose was not typical. The pharmacists called the outside ER, but the
provider ordering the prescription was not working, so another provider took the call. She immediately expressed concern with the
medication, since the patient’s lab value did not indicate the need for it. She recommended that we not fill the prescription until we
heard back from them. Later in the day, the prescriber that ordered the medication called back and stated the prescription should
never have been written. She had no idea how it was generated and signed. Her exact words were thank God for pharmacists. This

mistake could have been fatal to the patient.”

Outpatient Clinic

“A few days ago a patient arrived at the clinic with a blood sugar of 600”, said Rachel Colvin, patient advocate. “When Victoria
Hight, ARNP and Lois Leonard, LPN discovered this about the patient, they put them in a room and started working to get the blood
sugar level down. When I checked on the patient, Victoria stated that if the level didn’t go down quickly, she was sending them on to

the hospital (which the patient did not want). Both Lois and Victoria worked several hours and through their lunch hour to bring it
down. When the blood sugar level did finally go down, Lois gave the patient part of her lunch and the patient was able to walk out of
the clinic. I know this is typical for them, but I would like to recognize them for their caring exceed the need attitude they exhibit on a

daily basis and for the care they showed this patient.”

Parents of

Cheyenne & Arapaho Tribes’
Head Start Students:

Save-the-date for CSU’s annual outreach for
Head Start Health Exams to be held in a community

close to your school from 9 am to 1 pm.

Watonga — Friday, September 8th
Clinton — Friday, September 15th

Page 6

Back to School Health and Safety Tips

It is that time of the year again! Summer vacation has ended and children are headed back to school. Each new year
brings a new set of challenges. Clinton Service Unit wishes every child a productive and healthy school year. Here are
a few tips for helping your child stay safe and healthy through the year:

Physical Exams

All children should have a yearly physical examination with their primary care provider. There are many reasons that
this visit is important, such as:

 Make sure you have the chance to discuss any health concerns
 Get your child routine recommended screenings
 Monitor growth and development
 Renew any necessary medications
 Make a plan for managing chronic diseases like asthma, allergies, obesity, etc.

For children participating in sports, it is important that they have additional evaluation to make sure they are healthy
enough to play. This includes:

 Evaluation for any heart related issues in the child or family members
 Checking the muscles, bones, and joints and making sure any old injuries are taken care of
 Making sure they have all the necessary medical equipment to play safely (safety goggles, braces, etc.
 Evaluating risk of concussion, heat injury, musculoskeletal injuries and counseling on other prevention strategies

Preventing Illness

There are many important ways we can help make sure children reduce their risk of illness. This includes:

 Making sure immunizations are up-to-date! Some important immunization milestones include:
 Preschool (ages 4-5)
 DTaP (diphtheria, tetanus, whooping cough)
 IPV (polio)
 MMR (measles, mumps, rubella)
 Varicella (Chicken Pox)
 6th grade (Age 11-12)
 Tdap (Tetanus, diphtheria, whooping cough)
 HPV (Human papillomavirus
 Meningococcal ACWY
 High school/pre-college ( Age 16-18)
 Meningococcal ACWY
 Meningococcal B

 Getting a yearly flu shot
 These will be available in the clinic in mid -September
 The flu vaccine is recommended for ALL children
 Vaccines can be given on a walk-in basis in the pediatrics clinic

 Practicing good hand hygiene & cough and cold etiquette

Preventing Injury

It is very important for children and teenagers to receive education on preventing injury. Important areas to address:

 Appropriate car seats and booster seats for younger children
 Wearing helmets when riding bikes, scooters, etc.
 Wearing appropriate sports protection
 Avoiding tobacco, alcohol and drugs
 Drinking and driving
 Risky sexual behaviors
 Gun safety

Page 7

4 Reasons You Should Get Your Flu Vaccine

Well, it is that time of year again! Flu season will be upon us shortly, so it is time to start thinking about getting
your yearly flu shot. The Centers for Disease Control (CDC) now recommends that everybody over 6 months
of age should get a yearly flu vaccine.
Here are 4 reasons that I recommend flu vaccine to all of my patients, friends, and family:

Flu is no joke!
Influenza is a serious viral illness that causes thousands of deaths each year. While most flu related death

is among the elderly and chronically ill, even young, healthy people who catch influenza can become
seriously ill.

It is not unusual to have high fevers for several days and to miss up to a week of work due to influenza –
and who has that kind of time?

The flu shot works!
The flu vaccine trains your body to fight the flu, so that you can either avoid getting it at all, or if you do get

it you will not be nearly as sick.

Every year, the scientists who develop the influenza vaccine do extensive studies to determine which
strains of the flu they expect to dominate the flu season, then they make the vaccine based on these
predictions. So some years the prediction is spot-on and we get great protection, while other years the
virus is sneakier and we may see that the vaccine is less effective.

Some people think this means the flu vaccine is “not worth it”, because it doesn’t always work 100%. But
think about it this way – if you are going out in the rain, would you rather have a small umbrella, or no
umbrella at all?

The flu shot does NOT give you the flu.
The flu vaccine is either made with a killed or very weak form of the flu. While some people may get a lit-

tle runny nose, cough, or soreness after their flu vaccine, these symptoms are very mild compared to
the nastiness of a true influenza infection.

We can all help protect each other. When you get a flu vaccine, you are not only protecting your-
self, you are protecting everybody around you as well. Not everybody can get a vaccine, especially
tiny babies or people with very weak immune systems. And since no vaccine is 100%, not everybody
who gets the vaccine will have full protection. But the more of us who get the vaccine, the less overall
flu will be floating around, ready to infect these vulnerable people.

So when you really think about it, you’ll realize that by getting your flu shot you could help save the life of
somebody’s newborn baby or sick grandmother.

We will be providing flu vaccines here at the Clinton Indian Health Center all throughout the flu season. You
don’t even need an appointment; just come on in to the clinic or pharmacy and we’ll be happy to get you your
vaccine and get you on your way!

With best wishes for a safe and healthy flu season,

Sarah Hartnett, MD
Clinical Director

Page 8

Welcome to Clinton Service Unit!

Leah Wright
Housekeeping

Clinton

Jake Reynolds
Facilities Management

Clinton

Page 9

Page 10

Sexually Transmitted Infections

Chlamydia, Gonorrhea and Syphilis are the three most common
types of sexually transmitted infections (STIs). According to the lat-
est data from the Centers for Disease Control and Prevention
(CDC), the state of Oklahoma is fifth in the nation for cases of gon-
orrhea, 13th in the nation for cases of chlamydia, and 25th in the
nation for cases of syphilis.

Chlamydia usually starts as having no symptoms. When symptoms
show, patients have usually had it for some time. For women, if
chlamydia is left untreated, it can result in Pelvic Inflammatory Disease (PID), which is a major cause of Infertility,
ectopic pregnancy and chronic pelvic pain. Men may also contract this disease.

The number of gonorrhea case are on the rise. Unfortunately, gonorrhea has become resistant to many medications
available, and only two medications currently work to fight this disease. The number of men contracting gonorrhea is
increasing. Women who contract the disease may develop PID, pregnancy complications and chronic pelvic pain.

As with chlamydia and gonorrhea, the number of cases of syphilis is one the rise. Syphilis has different stages and
different symptoms with each stage. Symptoms go from an ulcer to brain/nerve changes.

If you or a loved one contracts an STI, get tested immediately, so you may start treatment as soon as possible. For
more information on STIs visit www.cdc.gov or call 580.331.3460.

For when the unexpected happens...

Clinton’s Saturday Convenient Care Clinic

9 am to 1 pm

Walk-ins Only
No appointment needed

Clinton’s Saturday Convenient Care Clinic provides treatment for minor medical needs:

Sore Throat Eye and Skin Infections Earaches
Insect Bites and Rashes Sinus Congestion Minor Cuts and Wounds
Cough Nausea, Vomiting, Diarrhea Fever
Pregnancy Tests Bladder Infections Allergies

Chronic health needs such as diabetes, follow-up appointments, routine prenatal care, pain management, and chronic medication refill renewals
will require an appointment in the primary care clinic, and will not be seen in the Saturday Convenient Care Clinic.

Page 11

Clinton
Service Unit

CLINTON Tell us how we’re doing...

10321 N. 2274 Road We invite you tell us how we’re doing and take
Clinton, OK 73601 our short online patient survey.
(580) 331.3300
For a paper copy, please stop by registration.
Cedar (580) 331.3424
Sage (580) 331.3389 2017 CSU Patient Survey
SweetGrass (580) 331.3376
Peds (580) 331.3466 https://www.surveymonkey.com/r/CSUPatientSurvey
Fax (580) 323.2579
Hours of Operation CSU VISION

Monday—Friday Provide quality health care services focusing on prevention, restoration and
8 am to 5 pm collaborative relationships that are valued and “exceed the needs” of our
Saturday patients, community and tribal partners.

Convenient Care Clinic
9 am to 1 pm

EL RENO

1801 Parkview Drive
El Reno, OK 73036

(405) 234.8400
Eagle, Otter & Peds

(405) 234.8411
Fax (405) 234-8435
Hours of Operation

Monday—Friday
8 am to 5 pm

WATONGA

1305 S Clarence Nash Blvd.
Watonga, OK 73772
(580) 623-4991
Turtle & Peds
(580) 623-4991
Fax (580) 623-5490
Hours of Operation
Monday — Friday
8 am to 5 pm


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