2018 July Newsletter

July 2018

Clinton Service Unit

Inside this issue: Indian Health Service and Marijuana

IHS Mission 2 Several states in the U.S., including the state of Oklahoma, have approved the use of marijuana for medical
Awards 2 use. Federal law classifies marijuana – including all derivative products - as a Schedule One controlled sub-
Spotlight 4 stance. This makes marijuana illegal in the eyes of the federal government.

Welcome 5 The Indian Health Service (IHS) is required to follow all federal laws, including those laws regarding marijuana.
As long as the Food and Drug Administration classifies marijuana as Schedule One controlled substance, IHS
Optometry 6 providers may not recommend it or assist patients to obtain it.

Security Notice 7 American Indian/Alaska Native (AI/AN) beneficiaries’ participation in state marijuana programs does not affect
eligibility for IHS care and services. IHS providers can and do discuss marijuana use with AI/AN beneficiaries
Men’s Health 8 as part of comprehensive care planning, and adjust treatment plans as necessary.

Direct Service Mtg. 9

Mailbag 10

Baby Stations 10

Facility Updates 11 What patients need to know about marijuana and the IHS:
PoP Stars 12

Training 12
Ticks
13  Beneficiaries will not be denied IHS benefits because of marijuana use.

 Beneficiaries are encouraged to discuss marijuana use with their IHS providers.

 IHS health care providers will record marijuana use in the patients’ IHS medical record in order to have the information available

in treatment planning. As with all clinical information, this is part of the confidential medical record and protected under patient
privacy and confidentiality laws and regulations.

 IHS clinicians may not recommend medical marijuana.

 IHS clinicians may not prescribe products containing Tetrahydrocannabinol (THC), Cannabidiol (CBD), or any other cannabinoids.

 IHS clinicians may not complete paperwork/forms required for AI/AN patients to participate in state-approved marijuana programs.

 IHS pharmacies may not fill prescriptions for medical marijuana.

 IHS will not pay for medical marijuana prescriptions from any source.

 The use or possession of marijuana is prohibited at all IHS medical centers, locations and grounds. When you are on IHS

grounds, it is federal law that is in force, not the laws of the state.

 Marijuana is classified as a Schedule One drug and it will be treated as such regarding, IHS employees suitability of

employment and current employee-related policies.

Fulfilling the Indian Health Service Mission

“To raise the physical mental, social, and spiritual health of
American Indians and Alaska Natives to the highest level”

The Acting Director of the Indian Health Service (IHS) challenged all of IHS to commit to memory our mission statement.
CSU has taken this request to heart. Our service unit is committed to providing the best quality patient care. The IHS mission is more

than a statement, it is how we care for our patients, family, friends, and coworkers each and every day.

“To me, our mission at IHS means that I will help
others to the best of my ability,” said Nathan
Broadrick, IT specialist. “This includes showing
kindness and being a blessing as I provide IT

services. It’s important that people see our good
works and honor our Father in Heaven.”

OKC Area Director’s Awards

Each year, the Oklahoma City Area Director recognizes IHS employees’ service who significantly advance the IHS mission and goals
through work focused on IHS priorities of people, partnerships, quality, and resources. Clinton Service Unit (CSU) was honored to
have four members of our team receive this award.

Deonda Roberson

IHS AREA DIRECTOR’S MERIT AWARD

CDR Deonda Roberson has served CSU as the Quality Improvement Officer for
the past 11 years. She began her career in 1996 with IHS as a registered nurse
for the Clinton Indian Health Center’s Ambulatory Care Clinic. In addition to her
primary role as Quality Improvement Officer, CDR Roberson currently serves as
CSU’s (acting) Chief Nurse Officer; providing oversight to the Primary Care
Clinic’s operations, Public Health Nursing program and infection control activities.
CDR Roberson demonstrates an incredible work ethic and dedication to
improving healthcare quality, and commitment to organizational achievements.

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IHS AREA DIRECTOR’S PEER AWARDS

The Peer Recognition Award honors employees who are engaged in performing duties in any occupational area. Recipients of this
award have demonstrated contributions above and beyond normal job expectations, are a team player, have demonstrated customer

service, have a positive attitude, excel in quality of work, and routinely volunteer to assist and cooperate with customers and
co-workers. Congratulations to our Peer Recognition Award recipients!

Johnelle Lamar

PEER RECOGNITION AWARD for
CLINTON INDIAN HEALTH CENTER

Lisa Anquoe

PEER RECOGNITION AWARD for
EL RENO INDIAN HEALTH CENTER

Kim Kidd

PEER RECOGNITION AWARD for
WATONGA INDIAN HEALTH CENTER

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Provider Spotlight

Dr. Matthew Fell, DDS

Dr. Matthew Fell, DDS, was born and raised in Virginia (VA). He attended
Mary Washington College in Fredericksburg, VA. and received a Bachelor’s of
Science in Biology in 2002. After completing his undergraduate degree, Dr.
Fell pursued a Doctor of Dental Surgery degree from West Virginia University’s
School of Dentistry. Upon graduating from the dental program in 2006, he
moved to North Carolina and practiced dentistry in both the public health and
private practice fields, where he served for 11 years.

In 2017, Dr. Fell accepted a position with the Indian Health Service at the
Anadarko Indian Health Center, in Anadarko, Oklahoma. He is currently serv-
ing as the chief dentist at the Watonga Indian Heath Center. “I look forward to
serving the patients of the Clinton Service Unit,” said Dr. Fell.

When away from the clinic, Dr. Fell enjoys spending time with his family,
watching sports, and travelling.

Lori Lee, PT, DPT

“Ya’aa’teeh’ and Hello in my Navajo language”, said LCDR Lori Lee, physical ther-
apist (PT). Lee hails from the Navajo reservation in New Mexico, where she was
born and raised in the small town of Navajo, NM.

“I’m a PT graduate from Northern Arizona University, Class of 2003,” said Lee. “I
began my career as a staff PT at the Gallup Indian Medical Center, where I worked
for approximately two years as a civil service employee. I then transferred to
Crownpoint Indian Health Service on the eastern edge of the Navajo reservation,
where I worked for approximately 10 years (2005-2015). During this time, I began
my career as a Commissioned Officer with the United States Public Health Ser-
vice.” In 2015, Lee transferred to the Santa Fe Indian Hospital, and most recently
joined Clinton Service Unit in July 2018.

Lee’s therapeutic hobbies outside of work are riding her Harley Davidson Softail
Heritage and Indian Springfield motorcycles. “I have been riding since 2006 and
have been all over the western United States” said Lee. “I have rode the Pacific
Coast Highway from San Luis Obispo to the Oregon Coast. I prefer doing solo
rides, but enjoy day rides with my fellow bikers.” Lee’s bucket list include riding to
Alaska and riding with her New Zealand friends along the New Zealand Coast.

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WELCOME!
CSU’s Newest Team Members

Dr. Matthew Fell
Supervisory Dentist
Watonga Indian Health Center

Alexzandra Dedmon Lori Lee
Licensed Practical Nurse Physical Therapist
Clinton Indian Health Center Clinton Indian Health Center

Jacey Lamar Thomas Pumpkin Sr.
Pathways Student Intern Housekeeping Aid
Clinton Indian Health Center
Clinton Indian Health Center

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Optometry Department

The Clinton Indian Health Center provides comprehensive eye care and

exams. It is important to see an optometrist annually, especially if you have

diabetes or have a history of an eye disease. CSU is pleased to offer

screening and diagnostic services using the latest state of the art

equipment. These services include:

 Comprehensive eye exams  Pupillary Dilation
 Diabetic Eye Exams
 Fundus Photography  Plaquenil Eye Screening
 Glaucoma Pressure Testing
 Optical Coherence Tomography
 Visual Field and Visual Acuity

Testing

Eyeglass Program Policy: The CSU Optometry Department performs routine and urgent eye examinations. To

receive a pair of prescription eyewear from CSU, a patient must be Purchase/Referred Care eligible in their electronic
health record. Patients who qualify to receive eyeglasses may order one pair of eyeglasses per year. Patients who
reside outside of the CSU are not eligible for eyeglasses, but may still receive a comprehensive eye evaluation, on a first
come, first served basis. Loss of eyeglass frames are not covered under our warranty.

For more information on optometry services, call

580.331.3413

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For the privacy of our patients,
no photography or video is allowed
in the facilities of Clinton Service Unit.

Thank you for your cooperation.

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.

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Men’s Health Day

Clinton Service Unit took part in Men’s Health Day sponsored by the Cheyenne and Arapaho Tribes’ Health Education Program. The
event was held the evening of July 10 in Watonga, OK at the Oakerhater Episcopal Church. Health presentations were provided by
tribal and community programs focusing on the theme of A Blueprint for Men’s Health Prevention. Dr. Solomon Ali, of Watonga Indian
Health Center, had a conversation with the men on cardiovascular disease and how it is a leading threat in men’s health. Narcisso
Soliz, CSU chief of pharmacy, discussed men’s health and prevention on diabetes, cardiovascular disease and low-testosterone.
Along with gaining valuable health information, the men and families were able to enjoy a cookout and evening movie.

Pictured above: Dr. Solomon Ali discussed the impact of
heart disease on men’s health.

Pictured above (left to right): Susan Bedwell, Narcisso Soliz, and Bonnie Kraft
provided an information booth on men’s health.

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Direct Service Tribes National Meeting

The 15th annual Direct Service Tribes National Meeting was held in Saint Paul, Minnesota, on July 11-12, 2018. The theme for the
conference, sponsored by Indian Health Service (IHS), focused on Utilizing People, Partnerships, Quality, and Resources to Strength-
en our Communities. The meeting provided an opportunity for tribal leaders, tribal and federal health care administrators, and program
officials to share ideas, concerns, and successes involving those entities receiving health care services directly from IHS. Clinton Ser-
vice Unit’s Clinical Director, Dr. Sarah Hartnett, presented on Health Literacy and shared information with the group on individuals’
capacity to obtain, process, and understand basic health information and services needed to make health choices.

Pictured above: Dr. Sarah Hartnett presents on Health Literacy
at the 15th annual Direct Service Tribes National Meeting.

Congratulations!

Clinton Service Unit is proud to announce three of our Public Health Service officers were promoted for the 2018 promotion cycle.
Andrea Klimo, El Reno and Watonga facility unit director and Deonda Roberson, performance improvement officer, both promoted to
the rank of Commander (O-5). Brett Whitehead, El Reno chief pharmacist, promoted to the rank of Lieutenant Commander (O-4).
Congratulations to these officers!

Pictured above (left to right): CDR Deonda Pictured above: CDR Andrea Klimo.
(DD) Roberson and LCDR Brett Whitehead.

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From the Mailbag...

“Becca (Geiger) was the pharmacist for my clinic visit,” said Clinton patient. “I want to
recognize her for the excellent job she did in utilizing the break it down for me method to
make sure I understood how to properly use my medications. She showed genuine concern and
stressed the importance of precautions that needed to be taken with one of the prescribed

medicines. She is a great asset to the Service Unit.”

“Dr. Yao is wonderful,” said Clinton dental patient. “He’s done all my root canals and is
excellent. He’s extremely talented and professional. I enjoy him!”

“Everyone was very friendly and helpful,” said Clinton patient. “All of my questions were
addressed and answered.”

“I was treated very well with kindness and smiles,” said Clinton patient.

“The Pediatrics Department was a stress free visit,” said Clinton patient. “It is kid friendly
and they are genuinely concerned.”

“The Pediatrics Department has very nice people and they treat you like family,”
said Clinton patient.

Baby Changing Stations

The Clinton Indian Health Center has installed Baby Changing Stations in all women and men's restrooms throughout the facility. The
wall-mounted units allow for parents and caregivers to care for their little ones in a safe and clean environment.

Pictured above: Hillary Wolftongue uses the new Baby Changing Stations
to provide care to her daughter

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Clinton Indian Health Center
Facility Updates

The Clinton Indian Health Center has accomplished the completion of another project with the remodel of the Audiology Waiting Room
and Housekeeping Offices. The remodel of the Audiology Waiting Room provides patients with a more private space, so friends and
family may gather. The Housekeeping Department added workspace for each of their staff members and a private office space for the
supervisor.

Pictured above: Audiology waiting room. Pictured above: Audiology reception area.

Pictured above: Housekeeping staff workspace. Pictured above: Housekeeping supervisor’s office.

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Personal Outstanding Performance

The “POP” Award recognizes Clinton Service Unit employees who exhibit
“Personal Outstanding Performance”. It is designed to encourage and acknowledge

employees for their everyday efforts and customer service.

Julie Boese and Cassandra Clark

“I would like to recognize Julie Boese and Cassandra Clark for their creativity and exceptional
service,” said Rachel Colvin, patient advocate. “Earlier in the month we had a patient in the clinic

express concerns regarding a personal situation. The patient needed time alone to speak with
Behavioral Health, but did not want to cause an issue with their family in the room. Both of the
pharmacists worked together to create a diversion and removed the extra family members from the
room. This allowed time for Behavioral Health to speak with the patient alone and avoided any extra
questions from the removed family members. Thank you Julie and Cassandra for your exceptional

service and creativity!”

Protecting our Organization

Unfortunately, active shooter events are occurring more and
more frequently across the United States. It is difficult to
acknowledge violence has potential to enter any workplace
or organization. To help protect employees and patients
against a potential threat or act of violence, staff of Clinton
Service Unit participated in a training on July 10 on how to
respond to an active shooter emergency situation. The
training discussed basic tactics on protection and safety.

Pictured right: Staff of Clinton Service Unit listen to the
presentation on what to do to protect themselves and others in

an emergency situation.

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It’s Open Season on Ticks!

Information adapted from www.cdc.gov

Ticks exposure can occur year-round, but ticks are most active during warmer months of April to September. Before you go outdoors,
know where to expect ticks. Ticks live in grassy, brushy, or wooded areas, and even on animals. Spending time outside walking your
dog, camping, gardening, or hunting could bring you in close contact with ticks. Many people get ticks in their own yard or n eighbor-
hood.

 Treat clothing and gear with products containing 0.5% permethrin. Permethrin can be used to treat boots, clothing and

camping gear and remain protective through several washings.

 Use Environmental Protection Agency (EPA)-registered insect repellents containing DEET, picardin, IR3535, Oil of

Lemon Eucalyptus (OLE), para-menthane-diol (PMD), or 2-undecanone. Be sure to follow product instructions. Do not use repel-
lent on babies younger than two months old, and do not use products containing OLE or PMD on children under 3 years old.
After you come indoors, check your clothing for ticks. Ticks may be carried into the house on clothing. Any ticks found should be
removed. Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine pets, coats, and
daypacks.

 Tumble dry clothes in a dryer on high heat for ten minutes to kill ticks on dry clothing after you come indoors. If the

clothes are damp, additional time may be needed. If the clothes require washing first, hot water is recommended. Cold and medi-
um temperature water will not kill ticks.

 Shower soon after being outdoors. Conduct a full body check upon return form potentially tick -infested areas, including

your own backyard. Use a hand-held or full-length mirror to view all parts of your body. Check these parts of your body for ticks:
under the arms, in and around the ears, inside belly button, back of the knees, in and around the hair, between the legs, around
the waist.
If you find a tick attached to your skin, there is no need to panic—the key is to remove the tick as soon as possible. There are several
tick removal devices on the market, but a plain set of fine-tipped tweezers work very well.

How to remove a tick

1. Use fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible.
2. Pull upward with steady, even pressure. Don’t twist or jerk the tick; this can cause the mouth-parts to break off and

remain in the skin. If this happens, remove the mouth-parts with tweezers. If you are unable to remove the mouth easily
with clean tweezers, leave it alone and let the skin heal.
3. After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol or soap and water.
4. Never crush a tick with your fingers. Dispose of a live tick by putting it in alcohol, placing it in a sealed bag/container,
wrapping it tightly in tape, or flushing it down the toilet.

Avoid folklore remedies such as “painting” the tick with nail polish or petroleum
jelly, or using heat to make the tick detach from the skin. Your goal is to remove

the tick as quickly as possible-not waiting for it to detach.

If you develop a rash or fever within several weeks of removing a tick, see your doctor.
Be sure to tell the doctor about your recent tick bite, when the bite occurred, and where you most
likely acquired the tick.

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Clinton Service Unit

Phone Directory

CLINTON INDIAN HEALTH CENTER (580) 331-3300
10321 N. 2274 Road ~ Clinton, OK ~ 73601

Request to establish chart: (580) 331-3369

Cedar Medical Home SweetGrass Medical Home Pediatrics

Dr. Scheer & Michelle Beshaw Dr. Maqbool & Jessica Van Den Berg Dr. Egan & Dr. Hartnett
Apts: (580) 331-3424 Apts: (580) 331-3412 Apts: (580) 331-3466
Nurse: (580) 331-3424 Nurse: (580) 331-3412 Nurse: (580) 331-3466
PRC: (580) 331-3363 PRC: (580) 331-3513 PRC: (580) 331-3307

(580) 331-3420

Audiology: (580)331-3482 DEPARTMENTS Chiropractic: (580) 331-3439
Dental: (580) 331-3423 Optometry: (580) 331-3413
Pharmacy: (580) 331-3351 Behavioral Health: (580) 331-3485 Podiatry: (580) 331-3439
PHN: (580) 331-3471 Nutrition: (580) 331-3458 Radiology: (580) 331-3415
Release of Info: (580) 331-3377 Physical Therapy: (580) 331-3439
PRC: (580)331-3590
Wound Care: (580) 331-3439

El Reno Indian Health Center 405.234.8400
1801 Parkview Drive ~ El Reno, OK ~ 73036

Request to establish chart: (580) 331-3369

Eagle Medical Home Otter Medical Home Wolf Medical Home Pediatrics

Dr. Garcia Dr. Renshaw Monica Halcomb Dr. Mejias
Apts: (405) 234-8411 Apts: (405) 234-8411 Apts: (405) 234-8411 Apts: (405) 234-8411
Nurse: (405) 234-8411 Nurse: (405) 234-8411 Nurse: (405) 234-8411 Nurse: (405) 234-8411
PRC: (580) 331-3336 PRC: (580) 331-3419 PRC: (580) 331-3307 PRC: (580) 331-3419

Behavioral Health: (405) 234-8426 DEPARTMENTS PHN: (405) 234-8430
PRC: (580) 331-3590 Specialty: (580) 234-8402
Pharmacy: (405) 234-8423
Release of Info: (405) 234-8403

Watonga Indian Health Center 580.623.4991
1305 S. Clarence Nash Boulevard ~ Watonga, OK ~ 73772

Request to establish chart: (580) 623-4991 ext. 3000

Turtle Medical Home Pediatrics

Dr. Ali Dr. Mejias
Apts: (580) 623-4991 Apts: (580) 623-4991
Nurse: (580) 623-4991 Nurse: (580) 623-4991
PRC: (580) 331-3336 PRC: (580) 331-3307

Pharmacy: (405) 623-4991 DEPARTMENTS PRC: (580)331-3590

PHN: (580) 623-4991
Release of Info: (405) 234-8403

Page 17

Good Questions
for Your Good Health

Every time you talk with a doctor, nurse, or pharmacist,
use the Ask Me 3 questions to better understand your health.

Clinton
Service Unit

CLINTON What is my main problem?
What do I need to do?
10321 N. 2274 Road
Clinton, OK 73601 Why is it important for me to do this?
(580) 331.3300
Tell us how we’re doing...
Cedar (580) 331.3424
Sage (580) 331.3389 We invite you tell us how we’re doing and take
SweetGrass (580) 331.3376 our short online patient survey.
Peds (580) 331.3466
Fax (580) 323.2579 For a paper copy, please stop by registration.
Hours of Operation
2018 CSU Patient Survey
Monday—Friday
8 am to 5 pm https://www.surveymonkey.com/r/CSUPatientSurvey
Saturday
CSU VISION
Convenient Care Clinic
9 am to 1 pm Provide quality health care services focusing on prevention, restoration and
collaborative relationships that are valued and “exceed the needs” of our
EL RENO patients, community and tribal partners.

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