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    • Thursday, Sep 17, 2020

    El Programa de rehabilitación pulmonar Thomas S. Dolan recibe una certificación respetada del líder de la industria

    The program becomes first of its kind to be accredited in Nevada. Renown Health is pleased to announce the certification of the Thomas S. Dolan Pulmonary Rehabilitation program at Renown South Meadows Medical Center by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). AACVPR certification demonstrates that an organization's Pulmonary Rehabilitation Program is aligned with current guidelines set by the American Association of Cardiovascular and Pulmonary Rehabilitation for appropriate and effective early outpatient care of patients with cardiac or pulmonary issues. Certification offers peace of mind, so that patients can feel confident in knowing that staff has the experience and skills necessary to coordinate the many issues faced by people receiving a life-changing cardiac or pulmonary diagnosis. Pulmonary rehabilitation programs help people with health issues such as asthma, chronic bronchitis, pulmonary fibrosis, or chronic obstructive pulmonary disease (COPD) recover faster and live healthier.  “Having access to quality pulmonary rehabilitation services so close to home, staffed by a highly-skilled group of compassionate care providers, truly is a gift to our community,” said Tony Slonim, MD, DrPH, president and CEO of Renown. “Estamos muy orgullosos del trabajo que se realiza en nuestro programa de rehabilitación pulmonar, y también estamos eternamente agradecidos por la donación de Tom Dolan al programa en 2019, que permite a los residentes de Nevada mejorar su salud y su calidad de vida”. “El Programa de rehabilitación pulmonar Thomas S. Dolan es el único programa de rehabilitación pulmonar acreditado en el estado de Nevada”, señaló Chris Nicholas, vicepresidente de Renown South Meadows Medical Center and Rehabilitation Hospital. “We take pride in this distinguished honor from the AACVPR as it acknowledges and amplifies the life-changing work happening here. Our dedicated caregivers provide support to our patients every step of the way, helping them lead vibrant and fulfilling lives despite their health conditions.”  The comprehensive pulmonary rehabilitation program at Renown South Meadows Medical Center offers treadmills, stationary bicycles, strength training and an education classroom to help patients achieve health goals. To earn accreditation, Renown’s pulmonary rehabilitation program participated in an application process requiring extensive documentation of the program’s practices. La certificación de programas de la AACVPR es el único proceso de acreditación de revisión por pares diseñado para revisar los programas individuales conforme al cumplimiento de las normas y las pautas desarrolladas y publicadas por la AACVPR y otras asociaciones profesionales relacionadas. En noviembre de 2019, Tom Dolan propietario y fundador de Dolan Auto Group, realizó una donación al Programa de rehabilitación pulmonar de Renown South Meadows Medical Center después de que su experiencia personal en la rehabilitación pulmonar le hiciera percatarse sobre las capacidades y necesidades que había en el norte de Nevada. His generous donation has allowed Renown to double the number of patients who receive treatment and increase the access to pulmonary rehab in our community. “As a former patient myself, I found so much benefit in my pulmonary rehab,” said Dolan. “I have always wanted to support this program and increase the number of people it serves. It’s great to see that we now have the only certified pulmonary rehab in Nevada.” “The most essential component of lung health is breaking the cycle of inactivity associated with lung disease,” said Lung Critical Care Physician Dr. Farah Madhani-Lovely. “Our community is fortunate to have an accredited program like this to empower our patients.”      About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project® . Para obtener más información, visite renown.org. Acerca de la AACVPR Fundada en 1985, la American Association of Cardiovascular and Pulmonary Rehabilitation es una organización multidisciplinaria dedicada a la misión de reducir la morbilidad, la mortalidad y la discapacidad causadas por las enfermedades cardiovasculares y pulmonares a través de la educación, la prevención, la rehabilitación, la investigación y el control de las enfermedades. Central to the core mission is improving the quality of life for patients and their families. Obtenga más información sobre la AACVPR en www.aacvpr.org.

    Leer más About El Programa de rehabilitación pulmonar Thomas S. Dolan recibe una certificación respetada del líder de la industria

    • 23
      oct
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

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    • 28
      ago
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

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    • 25
      sep
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

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    • 24
      jul
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

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    • 26
      Junio
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

      Leer más About Clase virtual de EPOC
    • 27
      nov
      • Medicina pulmonar y del sueño

      Clase virtual de EPOC

      • 3:00 p.m. - 4:00 p.m.
      • Clase virtual de Renown únicamente
      • gratuito

      Would you please join us for Renown Health’s free one-hour virtual class for Chronic Obstructive Pulmonary Disease (COPD) education? Our goal is to give you the knowledge to better manage your COPD by increasing your understanding of the disease process, medications and how to use them and creating an action plan you can use every day. This program is offered on the 4th Wednesday of each month and will meet from 3 to 4 p.m. Upon registering, you will receive instructions on virtually connecting 1 day before the class.

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    • martes, 5 de mayo de 2020

    Renown Using Technology to Help Keep Community From Superbugs

    Renown Health adds an electrostatic cleaning system to its list of innovative technology used to sanitize hospital rooms and equipment. During a time when many people might worry about seeking emergency care in fear of coming into contact with COVID-19, Renown Health is committed to the health and safety of everyone who enters our doors. As an added layer of protection for patients and staff, Renown is using a new electrostatic cleaning system to clean its emergency room. The same technology is also being used to sanitize Renown’s deployable medical facility outside its emergency room, employee dressing rooms and break areas, X-ray machines and more. El sistema elimina 19 organismos en solo dos minutos, incluidos los virus del resfriado y de la gripe, el Staphylococcus aureus resistente a meticilina (SARM) y los norovirus. “At Renown Health, we want our community to know that we are committed to providing a sanitary and safe environment,” said Renown’s manager of environmental services, Michael Yaranon. “Our electrostatic cleaning system is being used daily to help ensure our facilities are ready to safely care for our patients, as well as provide a clean environment for our caregivers who work in them. Since the beginning of this pandemic, we have continuously looked for new ways to expand our cleaning efforts, and the electrostatic cleaning system has served our facilities and hospital equipment well.”  In use at Renown since March of this year, the cleaning system uses a disinfecting solution included on the EPA’s list of registered antimicrobial products for use against novel coronavirus SARS-CoV-2, which is the cause of COVID-19. As an added safety precaution, the electrostatic technology helps the solution thoroughly clean and sanitize both hard and soft surfaces. This special cleaning technology is now being used in hospitals, commercial planes and hotels around the world to eliminate the spread of potentially dangerous pathogens. The handheld cleaning system is operated by a Renown employee. Once turned on, the machine uses an air compressor – with a force stronger than gravity – to dispel the disinfectant solution. Inside the device, an electrode introduces an attractive charge and atomizes the solution. Once the solution is propelled, the charged particles are instantly attracted to the surface being cleaned. The solution then reaches and wraps around the entire surface to uniformly coat and disinfect.  “Between our electrostatic cleaning system, germ-zapping robots, and diligent team of employees all operating around the clock to clean and disinfect, we truly are fighting the good fight against germs at Renown Health,” said Yaranon. “Please do not put off coming to Renown for emergency care if you need it – our facilities and equipment are extremely safe and ready to serve you.” Si desea obtener una demostración en persona o virtual del sistema de limpieza electrostática de Renown, envíe un correo electrónico a https://www.renown.org/covid-19/ para coordinar una hora. Si desea obtener información actualizada sobre el enfoque de Renown para mantener la seguridad de nuestra comunidad, visite nuestro sitio web en https://www.renown.org/covid-19/.   About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información.

    Leer más About Renown Using Technology to Help Keep Community From Superbugs

    • Viernes, 17 de abril de 2020

    Move Over, R2-D2. los robots desinfectantes de Renown Health mejoran la seguridad del hospital

    With the help of state-of-the-art, germ-removal technology, Renown Health touts another layer of protection to keep patients and staff safe. As hospitals around the country look for innovative ways to enhance quality patient care and eliminate the presence of germs and other bacteria, Renown Health’s four, germ-zapping robots are working around the clock to eliminate contagious superbugs in just minutes. Los robots desinfectantes Xenex utilizan una luz ultravioleta (UV-C) de xenón pulsada, que es 25,000 veces más potente que la luz solar, para eliminar eficazmente las superbacterias dañinas, incluidos el coronavirus (COVID-19), la bacteria Clostridium difficile (C. diff), el Staphylococcus aureus resistente a meticilina (SARM), los norovirus, y los virus que causan la influenza, la sarampión y el ébola. The portable robots are used as an extra layer of patient protection and are brought into operating rooms and certain patient rooms after hospital staff have done a thorough cleaning of the area. Renown fue el primero de la región en utilizar esta tecnología en 2015, y ahora se unen cientos de hospitales en todo el país que también utilizan los robots, como el MD Anderson Cancer Center, Sharp y Stanford. The technology has been credited with helping U.S. facilities in healthcare and hospitality settings reduce their rates of infection. “Our germ-zapping robots are a testament to the best practices put in place at Renown Health to enhance patient and staff health,” said Chris Baker, director, facilities engineering at Renown. “Funcionan los 365 días del año y contribuyen a las condiciones sanitarias sin precedentes de las que nos enorgullecemos en todos nuestros centros de atención médica”. Because the Xenex robots use UV light to disinfect rooms, they are able to reach every surface in the room and do not leave any chemical residue. To disinfect a room after standard cleaning procedures have taken place, a hospital employee wheels the robot into the room, begins the automated sequence, and then leaves the room to allow the robot to eliminate any bacteria in just five minutes. “Renown has long been recognized as the region’s leader in technology and specialized care,” said Baker. “So, it’s only fitting that we apply this advanced technology to our methodical and detailed sanitizing measures.” To view the germ-zapping robots in action, check out this video. Xenex information on COVID-19.   About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información. About Xenex Disinfection Services Xenex is a world leader in UV technology-based infection prevention strategies and solutions. Xenex’s mission is to save lives and reduce suffering by destroying the deadly microorganisms that cause hospital acquired infections. Xenex is backed by well-known investors that include EW Healthcare Partners, Piper Jaffray, Malin Corporation, Battery Ventures, Targeted Technology Fund II, Tectonic Ventures and RK Ventures. Para obtener más información, visite www.xenex.com.

    Leer más About A un lado, R2-D2: los robots desinfectantes de Renown Health mejoran la seguridad del hospital

    • lunes, 6 de mayo de 2024

    Renown South Meadows Medical Center Earns Highest "A" Hospital Safety Grade from The Leapfrog Group

    Only hospital in northern Nevada to receive national recognition for patient safety and quality Renown South Meadows Medical Center in south Reno has earned an “A” Hospital Safety Grade from The Leapfrog Group, a nonprofit watchdog organization that serves as a voice for health care consumers and purchasers, using their collective influence to foster positive change in U.S. health care. Leapfrog is the nation’s premier advocate of transparency in health care—collecting, analyzing, and disseminating data to inform value-based purchasing and improved decision-making. This national distinction recognizes Renown Health’s national accomplishments in ensuring safe, high-quality hospital care for patients. The Leapfrog Group is an independent, nonprofit organization that upholds the standard of patient safety in hospitals and ambulatory surgery centers. Developed under the guidance of a national expert panel, the Leapfrog Hospital Safety Grade uses publicly available hospital safety data to assign grades to more than 2,700 U.S. acute-care hospitals twice per year. Leapfrog assigns an “A,” “B,” “C,” “D” or “F” grade to general hospitals across the country based on over 30 measures of errors, accidents, injuries, and infections as well as the systems hospitals have in place to prevent them.  Leapfrog sets their standards using peer reviewed literature and expert opinion, peer comparisons, and alignment with existing national standards or performance targets. “We are very proud to recognize physicians, nurses, clinicians and the entire team at Renown South Meadows Medical Center for achieving exceptional Leapfrog performance in Patient-Centered Care, Critical Care, Nursing and Bedside Care for Patients, Patient Safety, Medication Safety, and Care for Total Joint Replacement and Elective Outpatient Surgery Patients,” said Brian Erling, MD, MBA, President and CEO, Renown Health. “As the only locally governed not-for-profit academic healthcare network in the region, Renown’s success is shared with our patients and community. We celebrate and thank our physicians, nurses, and caregivers for their continued dedication to making a genuine difference in the health and well-being of the people and communities we serve.” “Everyone who works at Renown South Meadows Medical Center should be proud of this ‘A’ Hospital Safety Grade,” said Leah Binder, president, and CEO of The Leapfrog Group. “It takes complete dedication at every level, and an ironclad commitment to putting patients first. I thank Renown South Meadows Medical Center’s leadership, clinicians, staff, and volunteers for caring so deeply for patients and their safety.” “We are proud of our affiliated physicians and teams who give their best every day, to ensure that every patient’s care and safety is their top priority,” said Sam Weller, MHPA, CEO, Renown South Meadows Medical Center. “We recognize that when you choose a hospital, you could be making a life-or-death decision. Not every hospital is the same. Performance on things like infection rates, surgical errors, or patient injuries varies considerably—and matters greatly. It’s important for consumers to know and consider these things when choosing what physicians, hospital, or Emergency Room to select for their care. We are very excited to be recognized as the only hospital to achieve this designation in northern Nevada, and only one of two in the state (the other being in Las Vegas).”   To see Renown South Meadows Medical Center’s full grade details and to access patient tips for staying safe in the hospital, visit HospitalSafetyGrade.org and follow The Leapfrog Group on Facebook, LinkedIn, Instagram and X (formerly Twitter) and via The Leapfrog Group newsletter.   The Hospital Safety Grade’s methodology is peer-reviewed and fully transparent, and the results are free to the public. Renown Regional Medical Center received a B score for Fall & Spring 2023. For more information on the Leapfrog Group and the Spring 2023 scores, please visit: hospitalsafetyscore.org. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,400 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.  About The Leapfrog Group Founded in 2000 by large employers and other purchasers, The Leapfrog Group is a national nonprofit organization driving a movement for giant leaps for patient safety. The flagship Leapfrog Hospital Survey and Leapfrog Ambulatory Surgery Center (ASC) Survey collect and transparently report hospital and ASC performance, empowering purchasers to find the highest-value care and giving consumers the lifesaving information they need to make informed decisions. The Leapfrog Hospital Safety Grade, Leapfrog's other main initiative, assigns letter grades to hospitals based on their record of patient safety, helping consumers protect themselves and their families from errors, injuries, accidents and infections. For more, follow us on Twitter, Facebook, LinkedIn and Instagram and sign up for our newsletter.

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    • Jueves, 02 de noviembre de 2023

    Renown Health Pulmonary Rehabilitation Program Certified by American Association of Cardiovascular and Pulmonary Rehabilitation

    Renown Health is proud to announce the certification of its pulmonary rehabilitation program by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). This certification is recognition of Renown Health’s commitment to improving the quality of life of patients by enhancing standards of care. Pulmonary rehabilitation programs are designed to help people with pulmonary problems (e.g., chronic obstructive pulmonary disease [COPD], respiratory symptoms, long COVID-19) recover faster and live healthier. Both programs include exercise, education, counseling and support for patients and their families. According to the Center for Disease Control and Prevention, COPD impacts 16 million people across the United States, and 1 in 13 adults (7.5%) have “long COVID” symptoms, defined as symptoms lasting three or more months after first contracting the virus, and that they didn’t have prior to their COVID-19 infection. "We are thrilled to receive this certification from the American Association of Cardiovascular and Pulmonary Rehabilitation for our pulmonary rehabilitation program at Renown South Meadows Medical Center. This recognition underscores Renown Health's unwavering dedication to providing the highest standards of care and improving the lives of our patients, no matter what life throws at them,” said Sam Weller, MHPA CEO of Renown South Meadows Medical Center and Renown Rehabilitation Hospital. “Our commitment to excellence shines through in every aspect of our programs, and this certification reinforces our ongoing mission to make a positive impact on the health and well-being of the people of northern Nevada." To earn this accreditation, Renown Health’s pulmonary rehabilitation program participated in an application process that requires extensive documentation of the program’s practices. AACVPR Program Certification is the only peer-review accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by AACVPR and other related professional societies. Each program’s application is reviewed by the AACVPR Program Certification Committee, and certification is awarded by the AACVPR Board of Directors. "At Renown Health, our pulmonary rehabilitation program is designed with our patients in mind. Our focus includes physical exercise, extending to education, counseling and support for both patients and their families,” said John Lynn, Manager of Respiratory Services at Renown Health. “This AACVPR certification is a testament to our team's hard work and dedication in ensuring that individuals with pulmonary conditions receive the best possible care to enhance their quality of life." In 2018, AACVPR moved to an outcomes-based process with performance measurements that represent more meaningful outcomes. Therefore, AACVPR-certified programs are leaders in the cardiovascular and pulmonary rehabilitation field because they offer the most advanced practices available and have proven track records of high-quality patient care. AACVPR Program Certification is valid for three years. About Renown Health Renown Health is Nevada’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®. About AACVPR Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation is a multidisciplinary organization dedicated to the mission of reducing morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management. Central to the core mission is improvement in quality of life for patients and their families.

    Leer más About Renown Health Pulmonary Rehabilitation Program Certified by American Association of Cardiovascular and Pulmonary Rehabilitation

    • Renown Health
    • Nursing
    • Seguridad
    • Director ejecutivo

    Enfrentar la amenaza de la violencia laboral en los hospitales

    In recent years, workplace violence against healthcare workers has been on the rise. According to the Occupational Safety and Health Administration (OSHA), about 75 percent of nearly 25,000 reported annual workplace assaults occur in healthcare and social service settings. Those who don’t work in healthcare may be surprised to learn that violent altercations are so common in our field. Hospital settings can create fear and stress for patients and their families. Pain, mind-altering medications and drugs, and difficult prognoses can amplify these feelings. While inappropriate responses may be understandable, violence cannot be tolerated. As the leader of a health system, protecting our employees is an issue that I take seriously. Reporting Workplace Violence Unfortunately, sometimes employees don’t report dangerous incidents fearing they might be blamed, or not realizing it’s a reportable offense. At Renown Health, we take these events seriously. We have clear, mandatory policies and protocols for reporting and investigating violent incidents. Each incident is investigated to ensure follow through and accountability. We also teach de-escalation skills to our hospital security teams, clinicians, and other frontline employees. As an added layer of protection, Renown Health has a first-rate security team that closely monitors activity on our campuses, addressing potential issues before they escalate. Our organization values our partnerships with community organizations including local law enforcement agencies like the Washoe County Sheriff’s Office and the Reno Police Department. Renown Health maintains a close relationship with these partners, and we alert them when our care teams experience an increase in violent incidents. I also recognize that workplace violence is a national problem that demands collaborative solutions. That’s why I am also proud to serve as a member of the American Hospital Association’s Hospitals Against Violence Advisory Committee. Nurses, doctors, paramedics, and frontline health workers care for us every day. It’s our responsibility to support them by ensuring they feel safe at work.

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Número de resultados encontrados: 25
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