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This Department Spotlight is dedicated to Jason Simpson, Manager of Respiratory Services at Renown Children’s Hospital.  Take a moment to breathe deeply. Inhale in, exhale out. We rely on our lungs to provide us with the air we need to live a healthy life – and this essential bodily function is something that many of us don’t think twice about since it comes easily for us. Now, imagine yourself as someone who is living with severe asthma, chronic obstructive pulmonary disease (COPD) or someone who was recently diagnosed with a frightening respiratory condition like COVID-19 or pneumonia. The simple act of breathing can prove to be an intimidating venture requiring the care of a professional. Who are the people that take on the challenge?  Meet Renown Health’s Respiratory Care Services department. Serving patients across 13 service lines, three acute facilities, outpatient locations and telehealth, our respiratory specialists – including respiratory therapists, respiratory care aides, inpatient COPD respiratory therapy navigators and educators and more – use their expertise to help restore the vitality of all their patients with every inhale and exhale, shaping a healthier livelihood one lung at a time.  The Guardians of Respiratory Wellness  Whether they are managing lifelong respiratory conditions or offering crucial support in emergencies, the Respiratory Care team strives to enhance the quality of life for every patient. As an indispensable member of the clinical team at Renown, our respiratory therapists work collaboratively with doctors and nurses to tackle a wide range of tasks, tailoring care for each patient’s unique needs.  “Respiratory care is involved with all stages of life, from beginning to end,” said Sarah Kurtz, Respiratory Therapist. “We work closely with nurses and doctors and perform arterial punctures, breathing treatments, weaning maneuvers for patients on life support, intubations and much more. We assess patients constantly to see if their care needs to be upgraded or if they can be weaned to get them back home with their families.”  “You start your morning researching your assigned patients,” added Tim Start, Respiratory Specialist. “We go over lab values and chest radiographs and decide the best plan of care for each patient. Our objective is to improve their respiratory status by giving them medications and doing breathing exercises. We participate in other forms of care with nurses, such as activities of daily living (ADLs) and mobilization. We work as a team, and that enables us to provide great patient care.”  For patients living with COPD, enjoying all that life has to offer comes with a separate set of obstacles. According to the Centers for Disease Control and Prevention (CDC), over 200,000 people across the Silver State are living with this chronic condition. Luckily for them, Renown has a specialized team to help these patients optimize their life and manage their condition with individualized treatment and education.  “We run a report every morning to identify all the patients currently admitted who have a history of COPD, take respiratory medications or smoke,” said Amber Beck, Inpatient COPD RT Navigator. “After looking through their charts, we visit with the patient (and possibly their family) at the bedside to help them better understand how to manage their breathing issues.”  As a vital part of the Respiratory Care team, Renown’s respiratory care aides help ensure the seamless operation of our respiratory care services. These dedicated professionals provide essential support to respiratory therapists not only during intricate procedures but also outside of face-to-face patient care by transporting equipment, restocking supplies, assisting in the mobilization of patients and more.  “We are responsible for the maintenance of unit supplies and making decisions regarding levels of stock to be maintained,” said Dia Ramos, Respiratory Care Aide. “We also transport equipment, refill the oxygen tanks on the floors and intensive care units (ICUs), order and stock respiratory care supplies, mobilize patients and assist the respiratory therapists during bronchoscopies in the ICUs. In addition, we clean respiratory equipment like mechanical ventilators, continuous positive airway pressure (CPAP) and bilateral positive airway pressure (BiPAP) machines, high flows and aerosol poles.”  Once the COVID-19 pandemic hit, a special spotlight shined upon respiratory care teams across the country for the heroic care they provided patients in respiratory distress. While their roles in health systems have gained a better understanding nationwide, this team understands it is vital for them to educate the community about the important jobs they hold for our patients.  “Respiratory care can be under the radar,” said Pam Umek, Respiratory Specialist. “Once, when I told someone that I am a Respiratory Therapist, they said, ‘Oh, like a yoga breathing instructor?’ I then explained all the things we do: intubation, extubation, bronchoscopies, transports, traumas, codes, rapid responses, pediatrics/NICU, breathing medications/therapies, open heart rapid ventilator weaning … needless to say, that individual walked away with a better understanding of not just Respiratory Care Services but also the enormous effort it takes to care for our community.”  The accolades and achievements continue to pour in, from national awards and certifications to implementing different jobs in care units to optimize the patient care experience.  “We have earned and continue to maintain the Joint Commission Disease-Specific Certification for COPD,” said Amber Beck. “We are well below national averages for 30-day readmissions, lengths of stay and mortality due to COPD. Sandy, one of our COPD Coordinators, was a recipient of a patient advocacy award from the American Association of Respiratory Care and FACES Foundation.”  “We have started implementing Respiratory Care Aides in the critical units, starting with the Cardiac ICU,” added Dia Ramos. “We work as one team and are always helping each other with their tasks.”  Education and mentorship are at the core of Renown’s mission to make a genuine difference in the health and well-being of every patient. Nurturing the next generation of medical professionals – including respiratory care professionals – is a task that the Respiratory Care team takes seriously.  “It has been great being able to help educate students in different disciplines,” added Pam Umek. “We have been able to offer shadow shifts to students in emergency medical services (EMS), nursing and medical school. These opportunities help students entering the medical field have a better understanding of the many ways we can help care for our respiratory patients.”  From the moment of birth to the final stages of life, Renown is fortunate to have a Respiratory Care team that tirelessly ensures every breath counts, safeguarding their role as a trusted partner within our health system.  A Tribute to Jason Simpson, Healthcare Hero

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Nutrition is a vital aspect of patient care. At Renown Health, the Food & Nutrition Services (FNS) teams take their mission of delivering patients high-quality, cost-effective, nutritious and attractive foods to the next level. From a thrice-daily trayline service with a wide variety of delicious food to the personalized dietitian services that ensure every patient gets the nutrients they need for optimal healing and recovery, Renown’s FNS teams at Regional, South Meadows and Rehab are unmatched.  Food for the Good Fight  The hustle and bustle of early morning food preparations gears the FNS team up to, as Renown Regional Food Service Worker Molly Kalsman puts it, “provide patients with adequate nutrition to heal.” From morning until nighttime, the team prepares three meals a day along with late trays and snacks.  This isn’t your run-of-the-mill hospital food, either. Think anywhere from cheeseburgers and salads to pork roasts and baked potatoes. As you can imagine, food of this caliber requires all hands on deck in the kitchen, especially during trayline times, to ensure all patients receive quality meals that meet their individual nutrition needs. “We make an impact with good service and great food,” said Mario Nunez, a Food Service Worker at Renown South Meadows.  As the food service workers are hard at work cooking and assembling, the nutrition representatives visit each patient to learn their individual dietary restrictions, allergies and food preferences. For Julie Macaluso, Nutrition Representative at Renown South Meadows, “letting the patients choose their meals” is one of the highlights of her job. “We go over meal choices for their stay, so the patient can pick out something they would like to eat and find enjoyable,” added Tara Sprehe, Nutrition Representative at Renown Regional.  The immense care and attention our nutrition representatives give to every patient paves the way for our clinical dietitians to build a nutrient-dense diet plan based on the individual patient’s preferences. Dietitians are the only licensed providers that can leverage nutrition to treat, manage and prevent illness and disease to improve patient outcomes. Every day, our experienced dietitians “make recommendations in the adjustment of macro and micronutrients in order to best manage a person’s health status in the setting of trauma, diabetes, heart disease and other morbidities,” said Jessica Blauenstein, a Registered Dietitian and Board-Certified Specialist in Oncology Nutrition at the William N. Pennington Cancer Institute. Overall, for this department, the phrase “that’s not my job” will never be heard, according to Lupe Ayala, a Cook at the Renown Rehabilitation Hospital. Day-in and day-out, it’s a massive group effort – and that’s the way they like it.  Setting the Service Bar High  Hitting milestones and accomplishments comes naturally to this crew. The FNS team sets the bar incredibly high for food and service standards across the Renown Regional, South Meadows and Rehabilitation hospitals.   The key ingredient? Synchronized teams that operate like a well-oiled machine. The meticulous trayline schedules and assembly lines, the cooks that put their heart into patient meals, the nutrition representatives and dietitians who ensure patient food wants and dietary needs are being met... the list goes on. And to top it all off, these teams certainly know the meaning of “service with a smile.”  Their efforts do not go unnoticed. “I am very proud of the team I have,” said Monica Lara-Yanez, Supervisor of Food and Nutrition Services at Renown South Meadows. “They have improved their knowledge and participated in cross-training, and they are very efficient doing their jobs and helping each other. Moreover, they care about the service we provide.”  One major accomplishment the FNS department achieved in recent years was implementing Room Service Connect, which aids in direct communication with patients, letting them know what foods are available to them during their stay at Renown based on their dietary needs. Locating trays of food has also never been easier. According to Tara Sprehe, “This system is also beneficial for letting food service workers know when a diet has been upgraded, discontinued, changed to NPO status or downgraded. This reduces the risk of giving the patient a diet that is not appropriate for them,” which saves both time and money for the department.  At the end of the day, the FNS department has one mission, and it’s the same mission we all employ as Renown team members: do it for the patient.  “It’s all about patient care,” said Jesse Holman, Cook Lead at Renown Regional. “That is the best accomplishment!”  A Dedication to Renown   The patients, the providers, and the passion: these are the most common themes that keep the FNS department passionate about Renown and their team. Whether they are just starting out in a career in food service or have established themselves in the clinical field, the FNS department proudly upholds the greatest standards of nutritional care that enhance Renown’s status as a top healthcare leader in northern Nevada.  “I choose Renown because it is a very distinguished institution with an amazing reputation, offering a lot of benefits and growth opportunities to employees,” said Monica Lara. “It makes me feel proud to say, ‘I work at Renown.’” Renown Rehab Food Service Worker Margretta Corbet echoes this sentiment, adding, “There are good people here with happy dispositions.”  Many FNS team members are especially enthusiastic about Renown’s robust benefits and career growth opportunities. For Molly Kalsman, working at Renown gives her the experience necessary to enter a career in dietetics. “Food service and hospital experience is encouraged to be accepted into a dietetics internship program, and Renown was the perfect opportunity for me to gain that experience,” said Molly. Carleigh Bates, Nutrition Representative at Renown South Meadows, is on a similar path: “Renown is a vehicle for so many things I am aspiring towards, such as getting my foot in the door for working in healthcare, improving the experiences of patients and gaining experience that will aid in my future goals.”  Carleigh emphasizes that the team’s commitment to Renown’s mission is at the core of what they do every day. “We impact patient care by providing nutrition to fuel their wellness and improve their stay.”  Lupe Ayala wraps up this strong conviction from the team very well: “I didn’t choose Renown; Renown chose me.”  Fight the Good Fight With Us This future-minded, patient-centric department is growing! The Food & Nutrition Services teams at Regional, South Meadows and Rehab are actively hiring eager, collaborative new team members. Natasha Frisbie, FNS Lead at Renown Regional, reports that the team has “successfully hired and trained 24 new employees in the past three months” and is still expanding. “Teamwork, communication, and enthusiasm are very valuable skills to have in this department,” said Molly Kalsman.   If you or anyone you know is looking for their next growing career opportunity, apply today!

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