Occupational Therapy Seminar

Sensory Processing Experience



What does it mean to have sensory processing challenges?
Come and learn basic management techniques and have a sensory experience yourself!

Who Benefits: The Sensory Processing Experience seminar benefits anyone interacting with children, especially children with suspected disabilities or sensory processing difficulties. Parents, grandparents, aunts, uncles, teachers, counselors, day care staff etc. any and all are welcome at this ADULTS ONLY class.

When: Saturday. September 29, 2018 2:00 – 4:00 pm in the Rehab Services Gym at Boundary Community Hospital.
Parking is available at the Clinic on Kaniksu Street directly across from the Hospital. Enter and sign in at Emergency/Acute Care Registration.

Presented By: Yahtil Huaute, OT, DOT, the new occupational therapist at Boundary Community Hospital will present the Sensory Processing Experience. Yahtil has spent seven years working in pediatrics with a focus on sensory processing and neurodevelopmental treatment. Identifying sensory processing difficulties and understanding the resources available could be essential for a child to experience life to the fullest.

 

Please reserve your place as soon as possible since there are only 20 seats available!
RSVP by calling (208)267-3141 ext 4275 or via email at yahtil.h@bcch.org

Surgery Suite Completed

Successful Surgery at BCH

Surgery Team Prepped and Ready (left to right): Renee Isaacs, Scrub Tech; Diana Kempton, RN; Dustin Miller, RN; and Stu Gall, CRNA. Photo by Shannon Rust, RN, Surgery Manager

Bonners Ferry – It has been a multiyear process to get the Boundary Community Hospital Surgery Department ready to perform more complicated surgeries. Since the upgrade and expansion of the Surgery Suite was completed in June 2018, Michael DiBenedetto, MD has successfully completed two total hip replacement surgeries, as well as several knee and hand surgeries.

Upgrading the air handling and infection prevention system to ensure more precise temperature and humidity control to meet government code compliance standards, a C-Arm Portable X-Ray Machine for orthopedic surgeries, as well as new endoscopy scopes have expanded the services, efficiency and patient-safety of the surgery department.

“The first year funding from the levy passed by voters in 2016 was used to purchase laboratory equipment, new endoscopy scopes and the upgrade and enhancement of the Outpatient Surgery Suite at the Hospital,” says Craig Johnson, CEO. “Our increased capability to perform these types of procedures should expand the availability in Bonners Ferry.”

“I feel our surgery team consists of some pretty amazing professionals who make patient safety and satisfaction their top priority,” according to Shannon Rust, RN, Surgery Manager. “With the recent upgrade of our HVAC system, we, in conjunction with Dr. Michael DiBenedetto, were able to start performing joint replacement surgeries.  We now have two successful hip replacements under our belt and are very excited to continue to make these procedures available to the community.  I am truly humbled and thankful to have been a part of such a wonderful endeavor for Boundary Community Hospital!”

Sports Physicals Update

FREE Sports Physicals at BCH a Success

Seventy-five Boundary County student athletes and their parents took advantage of the annual Free Sports Physical Clinic offered by Boundary Community Hospital and Boundary Community Clinics on July 31st. Students in Grades 7, 9 and 11 who want to participate in sports are required to have a medical clearance exam to detect conditions that may predispose them to injury or would make participation in sports unsafe.

Students were greeted by BCSD Coaches led by Conrad Garner, Dean of Students and Athletic Director for Bonners Ferry High School, before proceeding through a series of health screenings. Each athlete completed a medical history questionnaire and rotated through five screening stations. Boundary Community Hospital staff assisted with recording height, weight, vision, vital signs, urinalysis, and an evaluation for neuromusculoskeletal function including range of motion, strength, balance and functional mobility. Finally, a physician or nurse practitioner examined and talked with them and gave them the final “all clear”.

A special thank you to the medical team who provided the final physical exams this year: Greg Botkin, MD, Extended Care Facility Medical Director; Mark Pruitt, MD, Emergency; Chuck Newhouse, MD, Emergency; Susan Layeux, MD, Hospital Chief of Staff and Boundary Community Clinics; Bev Yercheck, NP-C and Janet Lukehart, NP-C, Boundary Community Clinics.

Sunshine Bartlett and the Hospital’s Time Sensitive Emergencies Committee helped pass some of the wait time by providing students with information regarding motor vehicle safety, including seat belt use, as well as ice water, cookies and frozen treats.

Boundary Community Hospital offers a Sports Physical Clinic annually as a FREE service for Boundary County student athletes.

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TSE: Hot Weather Safety

Hot Weather Safety

By Sunshine Bartlett, RN
Boundary Community Hospital Emergency Department

Summer is in full swing here in Boundary County. The temperature has been soaring. Heat-related emergencies are more common this time of year. Knowing how to prevent, spot, and treat these serious conditions is vital.

People at highest risk include those working or exercising outdoors. Also at risk are the very young, the very old, people who are drinking alcohol, and people with certain medical problems. Pets and animals are not immune to heat and can have similar heat-related reactions.

Around 1,500 people in the U.S. die each year from a heat-related condition. Prevention is key. Properly hydrate with water or diluted sports drinks. Dark urine or a decreased urination is a sign you may not be drinking enough. Take breaks in the shade. If possible, wait to do strenuous activities until a cooler part of the day. Never leave children or pets unattended in a car. Leave your pets where there is adequate water and shade. Fill the birdbath for our winged friends.

There are three main types of heat-related illness; heat cramps, heat exhaustion, and heat stroke.

Heat cramps are painful muscle spasms of the legs, arms, or abdomen. If these occur, stop activity and rest in a cool, shaded area. Drink water or other cool beverages. Gently massage or stretch the affected muscles. Seek medical help if these measures do not relieve your symptoms.

Heat exhaustion occurs if early signs of heat-related illness are not treated. Signs of this include sweating, headache, dizziness, nausea, weakness, and a rapid heartbeat. These signs are more serious and should not be ignored. Stop activity. Sit or lie down in a cool area. Drink cool water or other liquids. Sponge yourself with water. If symptoms do not improve seek medical assistance.

Heat stroke is the most serious of these emergencies. Symptoms of this can include confusion, fainting, or even seizures. The person’s skin is hot and may be moist or dry. The person will have an excessively high body temperature. If you find someone you suspect may be having a heat stroke, call 911. Remain with the person. Sponge them with cool water. Fan the person’s skin. Apply cold packs to armpits, wrists, and groin if available. Loosen any tight clothing. If they experience a seizure, protect them from harm but do not force anything into their mouth.

If you believe an animal may be experiencing a heat-related emergency, similar cooling measures will also help them. Move the animal to a cool, shaded area if possible. Offer water if they are conscious. Wet them with cool water. Do not submerge the animal in ice water. Seek veterinary help.

Boundary Community Hospital and the Idaho Time Sensitive Emergencies program are committed to aiding in the prevention and timely treatment of these and other emergencies. Stay cool out there!

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Excellence in Caring – Every Day

News Release July 25, 2018

Excellence in Caring – Every Day

Bonners Ferry, ID – Boundary Community Hospital’s Extended Care Facility has been recognized as one of the top nursing homes in the State of Idaho, again.  For the eleventh year, the State has given the Nursing Home the prestigious L. Jean Schoonover Award for Excellence in Caring. This year the facility received the Gold Award with the highest average Health Inspection rating of 4.6 to 5.0 and demonstrated dedication and commitment to providing the highest quality of care to the residents they serve.

“This is an excellent example of the quality of care that our extended care facility and hospital teams are providing to the community, especially those that need long term and skilled nursing care,” says Craig Johnson, CEO. “The focus is on the residents, making their environment more home-like, and finding and keeping staff who emphasize the quality of care they provide.”

With a “hands-on” leadership style, Director of Nursing Tami Corsi, RN, and the Extended Care Facility staff focus on care rather than procedures and schedules so that residents feel more at home. High staff-to-resident ratios, flexible meal schedules, housekeeping’s patient-focused room care, a variety of activities, and detailed care plans create an environment for residents that is superior to other facilities. According to Chief Nursing Officer, Tari Yourzek, “The entire staff, both medical and non-medical, is committed to quality patient care and caring about the people of Boundary County, continuously making a conscious effort to improve services. Their attitude toward a culture of quality is reflected in their efforts to stay ahead of standards of care, setting an example for other small rural nursing homes and hospitals.”

The Extended Care Facility and Nursing Home at Boundary Community Hospital is a licensed skilled nursing home with a physician on staff to supervise each resident’s care providing both long-term and rehabilitative or short-term residency. The highly-skilled staff understands and specializes in long-term care, bringing a special nurturing atmosphere that can be felt every day throughout the facility.

Some of the exceptional BCH Extended Care Facility staff celebrating their Excellence in Caring Award from the State of Idaho.

TSE: When Time is of the Essence in an Emergency

When Time is of the Essence in an Emergency

By: Sunshine Bartlett, RN
Boundary Community Hospital Emergency Department

Published in the Bonners Ferry Herald 6/21/2018

The man sitting beside you in church slumps forward. When you speak with him his words are slurred. He seems unable to lift one of his arms.

You are at a family dinner. Your aunt mentions to you she has been having chest pain for the last 30 minutes. She doesn’t want to cause a fuss. She wants to know what you think she should do.

You are driving down the road. You come upon a truck which ran off the road and struck a tree.

 What do these three situations have in common?

They are all considered Time Sensitive Emergencies.

Time sensitive emergencies are medical conditions where rapid treatment can make a big difference in the eventual outcome for a person.

The state of Idaho has recognized Stroke, Heart Attack and Trauma as circumstances where timely care can prevent and lessen disability and even death. Many of the Emergency Medical Systems (EMS) and hospitals throughout the state are adopting new systems to reduce delays for these people. These measures include calling ahead an alert to make these patients a priority, developing protocols to assure the highest level of care and expediting transfers to the most appropriate facility.

You are the most crucial piece in the chain. Without people in the community alerting medical personnel the process cannot begin.

What can you do if you recognize the signs of these critical situations?

Stroke:

Slurring of speech, facial droop and/or weakness on one side of the body.

Heart attack:

Chest pain or pressure which can move into the neck or arm, sweating, nausea and/or pale skin.

Trauma:

Any concerning trauma or injury.

First, remain calm and Call 911.  EMS in Boundary County have been trained to respond and treat these emergencies. They will notify the Hospital of the type of emergency so other preparations can be made.

Next, stay with the person. Dispatch may have questions for you which can help EMS locate and treat the person who is sick or injured.

In each of these cases, the quicker the person can get to medical care, the better the chance they will go on to lead a healthy and productive life. Your ability to recognize these critical situations and act may really make a difference in someone’s life.

Boundary Community Hospital in Boundary County and Bonner General Health in Bonner County have been designated as Level IV Trauma Centers by the State of Idaho for Time Sensitive Emergencies.

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Stroke? Think F A S T
Stroke Cincinnati Pre-Hospital Stroke Scale
Face: Ask the person to smile
– does one side of the face droop?
Arms: Ask the person to raise both arms – does one arm drift downward?
Speech: Ask the person to repeat a simple phrase – is their speech slurred?
Time: Time is brain! Stroke is an EMERGENCY!

Prescription for Wellness: First Aid on the Trail

First Aid on the Trail

By: Dr. Susan Layeux, Boundary Community Clinics

In Boundary County, we head out to forest and river trails to hike, pick berries, find mushrooms, track animals, hunt, ride mountain bikes, snowmobile and ride ATVs. Most excursions will never end in someone needing First Aid. However, as the mother of three Eagle Scouts, I would have to agree with the Boy Scout motto: “Be Prepared”. That is the first key to Trail Safety and First Aid. We need to be aware of our surroundings and the obstacles or animals we may encounter that could result in injury. So I will share some key ways to be prepared.

Carry water. Avoid dehydration by bringing along enough water for the time you plan to spend outside. The higher the temperature, the higher you go in altitude and the more physical you are, the more water you need (even in the winter). The base should be 8 ounces per hour. If you stay hydrated you are less likely to experience Fainting, Heat Stroke and mental dullness that can lead to other injuries. Water can also be used to wash wounds and to cook. Sometimes a simple water bottle per person is enough, but the Camelback backpacks are great if you will be out for hours.

Pack a basic First Aid kit. This could include antiseptic wipes or alcohol pads (or water), antibiotic ointment, assorted bandages, small tweezers for slivers (or ticks), gauze pads of various sizes, tape (even duct tape), elastic bandage (Ace wrap or Coban wrap that sticks to itself), moleskin or gel pads for blisters, burn cream packets, scissors, safety pins, hand sanitizer, triangular bandage or bandana (makeshift sling). You could even consider disposable non-latex gloves and a CPR breathing barrier if you will be far from help and in a large group. A few baby Aspirin and some Acetaminophen or Ibuprofen can be handy. And many kits come with a small first-aid booklet or guide to how to handle various injuries.

On insects. Prevent tick and mosquito bites with proper clothing and your favorite insect repellent. Check for ticks at the end of each day, and remove by grasping the head (if possible) with tweezers and pulling steadily and firmly. Prepare for hornet or bee stings. If allergic, be sure to bring your Epi-Pen. Even if not, bring a few Benadryl 25 mg (diphenhydramine) and take one immediately if there is significant trouble with swelling or breathing. This can also be used if you develop a rash from exposure to poison ivy or other noxious weeds.

Prepare for the weather. Apply sunscreen every 1-2 hours to exposed skin. Use a hat to keep your head cooler in the sun and warmer in the cold. Bring along a rain poncho or even garbage bag if wet weather is possible. Wear layers so that clothing can be adjusted according to changes in temperature through the day (or elevation).

Dress appropriately. Hiking boots provide better ankle support than sneakers on uneven terrain. Helmets are important for high-speed activities like biking, riding ATVs and snowmobiling. Neckerchiefs come in handy for covering skin, getting wet to put around neck to cool down, or to wash or bandage wounds.

General Safety. Always be sure that someone knows where you are going and how long you plan to be away. Carry a flashlight and matches. Carry a cell phone (even if you don’t have service, the phone can often be tracked if you get lost). Always go with a buddy. Back away from potentially dangerous animals while facing them and making a lot of noise.

The Community Health Fair is Saturday, May 12, from 9 am to noon. Stop by our Mountain Trail Safety Clinic. I will be there to answer First Aid questions and give you tips on how to make a Basic First Aid Kit. We live in a beautiful part of the world. Enjoy it – Safely.

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Susan Layeux, MD is a Primary Care Physician at Boundary Community Clinics and Chief of Staff at Boundary Community Hospital.

Prescription for Wellness: Advance Directives

Prescription for Wellness from Boundary Community Clinics

 

Start the Conversation about Advance Directives

By: Janet Lukehart, FNP-C

Healthcare decisions can often be complicated and confusing even under the best of circumstances. Unexpected medical issues and emergencies may place you in a situation where you are unable to speak for yourself, leaving your family to make heathcare decisions for you. Under these circumstances, how will your family and medical providers know your preferences for life-saving efforts and treatment? This is where an Advance Directive comes in.

Stated simply, an Advance Directive shares your healthcare wishes, should you become incapacitated and unable to express yourself. You specify the medical treatments you would want provided or withheld, and designate who is permitted to make these medical decisions on your behalf. Most people decide their preferences based on personal values and conversations with loved ones. Should you change your mind, updates can easily be made by submitting a new form.

Three types of advance directives legally recognized in Idaho are the Living Will, the Durable Power of Attorney for Healthcare, and the Physician Orders for Scope of Treatment (POST). A Living Will is a written, legal document that spells out medical treatments you would and would not want to be used to keep you alive, and related decisions such as pain management or organ donation. In the absence of an advance directive, medical care providers are obligated to prolong your life, using artificial means if necessary. With a Durable Power of Attorney for Healthcare, you name the person who will make these decisions for you when you are unable. The POST replaces the traditional Idaho Do Not Resuscitate form and is a set of medical orders you ask your doctor to write. The POST is most applicable for those with terminal conditions.

The Advance Directive process need not be complicated nor expensive. Instructions and templates for advance directives are combined in a free document provided by the state of Idaho. Idaho also maintains an Advance Directive Registry. By filing your document with the registry your healthcare provider and loved ones will have ready access to your directive in a time of need. Visit https://sos.idaho.gov/hcdr/ for more information. Other free and low-cost resources are available at AgingWithDignity.org, CaringInfo.org and HonoringChoicesIdaho.org.

If you do not already have an Advance Directive and would like more information and/or forms, please stop by the Start the Conversation about Advance Directives exhibit area at the Hospital’s Annual Health Fair on May 12, 2018. Your actions now might well save your family members stress and emotional turmoil in the future, and assure your healthcare choices are met.

Janet Lukehart is a primary care Nurse Practitioner at Boundary Community Clinics.

Prescription for Wellness: April is Autism Awareness Month

Prescription for Wellness from Boundary Community Clinics

April is Autism Awareness Month

By: Beverly J. Yercheck, ANP-C

To highlight the growing need for concern and awareness about autism, the Autism Society has celebrated National Autism Awareness Month since the 1970s. This is a good opportunity to promote autism awareness, autism acceptance, and to draw attention to the many families facing an autism diagnosis each year.

What is autism?

Autism is a spectrum condition that affects individuals differently and uniquely to varying degrees. Many of the symptoms of Autism involve communication and socialization. Frequently those with Autism have problems with change, avoid eye contact, have facial expressions that do not correspond to the situation, have problems with personal space, appear to lack empathy and may avoid physical contact. Frequently these individuals have problems making and maintaining relationships.

How is Autism diagnosed?

Signs and symptoms typically appear in early childhood and can be diagnosed by a pediatric provider or by school specialists with input from family and friends. Signs that a child needs an assessment for Autism are usually noticed by the parents or primary care providers. These early signs may include the following: a baby that does not babble or coo by 12 months; a baby that does not gesture with waving or pointing by 12 months; a baby that does not speak even single words by 15 months or say 2 word phrases on his own by 24 months; or if there is any loss of language or social skills over time. These signs do not mean a diagnosis of Autism but they do signal a need for professional assessment.

Since Autism can look differently in each individual, it takes a team approach to put together a plan to help the child navigate in a “neurotypical” world. Success of the individual greatly depends on resources and support within and aside from the family. The school system can assist with interventions to help bring out the best academically and help develop social skills. It is important to remember that the individual with Autism has all the same needs that non-Autistic people have, they just express those needs in different ways.

Bev Yercheck is a primary care adult Nurse Practitioner with Boundary Community Clinics in Bonners Ferry.

 

The Autism Awareness Ribbon — The Autism Awareness Puzzle Ribbon is the most enduring and recognized symbol of the autism community in the world. The puzzle pattern reflects the complexity of the autism spectrum. The different colors and shapes represent the diversity of the people and families living with the condition. The brightness of the ribbon signals hope — hope that through increased awareness of autism, and through early intervention and access to appropriate services/supports, people with autism will lead full lives able to interact with the world on their own terms. – Autism Society

Rural Health in Boundary County

Rural Health in Boundary County


By:  Jeannie Harkness
Boundary Community Clinics Manager

Across America rural settings allow for a simpler way of life. However, when it comes to health care, Rural Health Clinics are anything but simple. The Rural Health Services Act of 1977 has helped bring healthcare providers to rural areas, meeting the needs of families that would otherwise not have access to care. Physicians, Nurse Practitioners and Physician’s Assistants care for patients with problems ranging from the common cold to annual physicals, to chronic and serious issues including hypertension, diabetes and heart disease. Rural Health Clinics have helped residents of small communities, like Boundary County, enjoy healthier lifestyles and address more prominent healthcare needs.

Boundary Community Clinics has been certified as a Rural Health Clinic by the State of Idaho since 2014. To qualify as a Rural Health Clinic (RHC), a clinic must be either located in a non-urbanized area, designated as a medically underserved area, designated as a population group or have a geographic health professional shortage in the area.  In addition, Boundary Community Clinics was recently re-accredited by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. as a Rural Health Clinic and is proud to be a part of the Rural Health Association.

With a full-time physician, two nurse practitioners, nurses, medical assistants and administrative staff all living in Boundary County, our rural health clinic is truly neighbors caring for neighbors.