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La historia de Paola: incorporar la esperanza y la determinación en el cuidado del paciente
You may recognize her from billboards around town or the cover of Renown's latest annual report, but what you might not know is the story behind the now-familiar face. Paola Espinoza-Patino is the oncology unit's associate nurse manager at Renown Regional, and she grounds her work in hope and determination daily. Meet Paola:
Read More About Paola’s Story: Bringing Hope and Determination to Patient Care
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Chris Nicholas, CEO of Renown Regional Medical Center, Named to Becker’s Hospital Review’s “Rising Stars Under 40” List
Becker’s annual “Rising Stars Under 40” list recognizes the next generation of healthcare leaders who are prioritizing access to care, cost reduction and the patient experience. Chris Nicholas, FACHE, LNFA; CEO of Renown Regional Medical Center was one of 67 leaders nationally to be listed. “These motivated, ambitious and forward-thinking individuals are perfectly positioned to impact the future of healthcare,” Becker’s stated. Becker's is thrilled to honor these rising stars in healthcare, who are 40 years old or younger and quickly rose within the ranks of their organizations.” In their announcement, Becker’s highlighted that Chris Nicholas, CEO of Renown Regional Medical Center (Reno, Nev.). leads the 808-bed Renown Regional Medical Center, the state's largest hospital. He plays a key role in Renown's $489 million investment to enhance critical care and patient facilities to keep up with regional growth of 12 percent in a service area covering 100,000 square miles. In his first year as CEO, he partnered closely with a team of dedicated employees to open a new trauma ICU and alleviated community pediatric shortages with a new NICU and PICU, increasing private rooms and patient capacity by 28 percent and incorporating Spirit of the Land design concept with healing art created statewide to promote clinician wellness, including respite lounges, off-stage areas and sit-stand desks. They added that Renown Health earned Forbes' Best Healthcare Employer in Nevada for combatting burnout and ensuring well-being and safety of caregivers. “We are so pleased that Chris has been nationally recognized for his leadership, said Brian Erling, MD, MBA, President & CEO for Renown Health. “Over the last seven years, Chris has been building high-performing teams and leaders focused on driving quality, service, and financial sustainability. His dedication to improving healthcare using data, innovation and technology has inspired teams to work together to achieve significant results that have benefited many. Chris is the definition of a dedicated and committed leader and is well deserving of this recognition. We are very proud of his accomplishments, and know he has a tremendous future ahead.” Before serving in his current position, Chris was VP & Administrator of Renown South Meadows Medical Center and the Neuroscience Service Line. He was also the Senior Administrator of Rehabilitation Services, leading post-acute services, and partnerships. Chris has a master’s degree in health care administration from The University of Texas at Arlington and is a Fellow in American College of Healthcare Executives. In addition to his passion for his family, Chris finds time to enjoy the outdoors and volunteer for many outstanding professional and not-for-profit organizations, including: Past President/Current Board Member; ACHE Nevada Chapter; Jan 2019 - Present Board Member, Nevada Hospital Association; Sep 2021 - Present High Fives Board Member; Jan 2019 - Present Head Injury Association of Northern Nevada Board Member; Jan 2018 - Nov 2019 REMSA Health Board Member; Jun 2022 - Present About Renown Health Renown Health is the region’s largest, locally governed, 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. 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.
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Reno Home to CNO to Know: Chief Nurse Executive Melodie Osborn, Named to Becker’s National List
Becker’s annual list of Chief Nursing Officers to Know list for 2023 has been published, recognizing professional nurse healthcare leaders across the country. Melodie Osborn, MBA, BSN, RN, NEA-BC of Renown Health, Reno’s only not-for-profit, charitable health care organization, is one of the 153 professional nursing leaders nationally to be listed, and one of two from Nevada. “These leaders bring a unique blend of clinical and leadership experience to their roles. These nursing healthcare leaders have navigated their hospitals and health systems through the COVID-19 pandemic, and are now addressing staffing shortages, managing labor budgets, and creating professional pathways for the next generation of nurses,” Becker’s stated. In their announcement, Becker’s highlighted that Melodie Osborn, MBA, BSN, RN Chief Nurse Executive for Renown Health (Reno, Nev.), oversees nursing and seamless care across Nevada’s largest not-for-profit integrated delivery system. In 2023, she worked with donors and University of Nevada, Reno, to create an academic pipeline to address the nursing shortage via full-ride scholarship funding for up to 24 nursing students each year. Scholarship recipients may also complete a paid apprenticeship at Renown with a guaranteed hospital job following graduation and licensure. In 2020, Ms. Osborn volunteered to lead Renown’s COVID-19 vaccine effort and helped personally vaccinate over 50,000 community members. She is past president of Nevada Organization for Nurse Leaders. Under her leadership, Renown’s ICUs are three-time AACN Beacon Award winners for demonstrating excellence in patient care, healthy work environment and ongoing and evidence-based care.” “We are so pleased that Melodie has been nationally recognized for her stellar leadership, said Brian Erling, MD, MBA, President & CEO for Renown Health. “Over the last twelve years, she has built high-performing teams and created a supportive environment that enhances patient-centered care. Melodie has an incredible work ethic, strong principles and has worked to achieve a consistently high standard of nursing practice across Renown Health. Melodie takes her responsibility as the executive nursing voice for more than 2,700 nurses very seriously. Her dedication to improving health and care has inspired teams to work together to achieve significant results that have benefited many. Melodie is the definition of a dedicated and committed leader and is well deserving of this recognition. We are very proud of her accomplishments and thank her for her exceptional leadership.” Melodie Osborn is a member of the executive leadership team at Renown Health. Renown Health earned Forbes' Best Healthcare Employer in Nevada for combatting burnout and ensuring well-being and safety of caregivers. Renown Health is hiring exceptional nurses and offers a culture of dignity and respect with opportunities for flexibility and growth. As a national health leader, Renown provides access to state-of-the-art technologies, advanced facilities, and integrated patient systems. For more information, visit renown.org/careers.
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How Do I Prepare for Surgery?
Renown’s team of nurses and respiratory therapists discuss what you need to know before undergoing surgery, including fasting guidelines and how to improve recovery. There are several things to know before you undergo surgery, including steps to prepare at home in advance of your procedure. Fasting Guidelines: No solid foods eight hours prior to surgery You may have clear liquids three hours before your surgery. Clear liquids include water, apple juice and lemon or lime-flavored soda water (not cola). In addition, do not chew or smoke tobacco (regular or e-cigarettes) after midnight the night before your surgery, unless instructed by your doctor or anesthesiologist.
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Servicios quirúrgicos
Renown Surgical Services is with you every step of the way, providing the support, guidance and information you need throughout the entire surgical process — from preparation to recovery. Whether you need same-day surgery or an advanced procedure, our team helps you find the option that provides the best possible outcome. Need help with your pre-admitting appointment or a price estimate? Call 775-982-3993. Preparing for Your Procedure Now that you have your surgery scheduled, let’s help get you ready for your pre-admitting appointment. The following checklist provides steps for you to follow from the time it’s determined you need surgery. The checklist covers: How to prepare 1-28 days before your procedure How to prepare the night before your procedure How to prepare the day of your procedure How to take care of yourself after your procedure View the Checklist (English) Ver en Español
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¿Por qué no puedo comer antes de la cirugía?
If you’re having surgery on your shoulder, why does it matter what’s in your stomach? We asked Dr. Matthew Hoberg to explain more about pre-surgery directives, including fasting. If you have an upcoming surgery, your care team likely gave you instructions to fast before your procedure. But why? We asked Matthew Hoberg, M.D., medical director of Renown Surgical Services, to explain why it’s important to forgo food and drinks before surgery. Why are patients instructed to fast before surgery? Regardless of surgery type or site, we want the stomach to be empty before having anesthesia, because anesthesia can reduce your body’s ability to protect and prevent food or acids from the stomach from entering the lungs. Normally, your body is able to prevent this, but anesthesia medicines make it harder for your body to do so. When food or liquids from the stomach get into the lungs, doctors call it “aspiration.” This is rare, but can be dangerous if it does happen. Solid foods and liquids leave the stomach at different rates too. Solid food takes longer to empty from the stomach than liquids, so the time to stop eating solids (eight hours) is longer than that for clear liquids (two hours). The body has energy reserves to produce needed nutrients and fuel during fasting. Recently, studies have shown it is important to stay hydrated and have some carbohydrates in clear liquids up to two hours before surgery, so clear liquids are allowed until two hours before surgery. There are also special rules for babies and young children who need surgery. For example, you may give breast milk up to four hours before surgery. If your baby drinks formula, you should stop six hours before surgery, and all solid foods you should stop eight hours before. Your child’s doctor or nurse will give you exact instructions. What if you show up for surgery and have broken the no-eating rule? Will surgery be re-scheduled? If patients have not followed the fasting guidelines, surgery will be postponed or rescheduled due to the possible increased risk associated with not having an empty stomach. The exception would be emergency surgery that cannot be delayed in which case special precautions are taken to help prevent anything from getting into the lungs. What other pre-operative rules should be followed to the letter? All instructions given to patients before their surgery or procedure should be followed. There are specific medical reasons behind all the instructions and they are designed for safety — to minimize risks, lower complications like infections and enhance the recovery process to help patients get back to normal as quickly as possible. Also, many patients ask if they should continue taking medications before surgery. The answer is: It depends. Your doctor or nurse will tell you which medicines you should take and when. Some medicines need to be stopped before surgery. But for others, it’s important you keep taking them as usual. You may also get new medicines to take before surgery. You may be asked to take some medications before surgery as part of advanced pain management protocols. If you need to take medicine right before your surgery, you can take it with a sip of water.
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Strategies for Lasting Weight Loss
Managing weight is a complicated and often difficult journey for many individuals, and obesity stands as a common and serious chronic health condition. In fact, the Center for Disease Control and Prevention reports that the prevalence of obesity in the US is greater than 40% in adults and 20% in children, and those numbers are continuing to climb. In Nevada, according to the 2020 Behavioral Risk Factor Surveillance System, 28.7% of adults reported being obese. By 2030, almost 80% of American adults may be overweight and half of them will be obese. But obesity isn't just about the numbers on the scale; it's a multifaceted, lifelong, neurobehavioral disease triggered by a combination of factors. These include abnormal eating patterns, reduced physical activity levels, environmental stressors, genetics and various other contributors. Obesity extends far beyond appearance, often leading to the development of numerous medical conditions such as diabetes, heart disease, elevated blood pressure, stroke, sleep apnea, liver disease, various cancers and infertility. Join us as we delve into the complexities of obesity and explore strategies for effective weight management available right here in northern Nevada. Why Can Losing Weight be so Difficult? The challenge behind weight loss finds its roots in the Set-Point Theory of Obesity, a concept that says our bodies have a predetermined weight, or fat mass, within a defined set-point range. In other words, when an individual's weight deviates from this set point, the body initiates mechanisms to bring it back to the established range. So, if someone loses weight below their set point, the body may respond by increasing hunger and reducing metabolism, making it challenging to sustain weight loss. There Isn’t One Right Answer, But Renown is Here to Help Various weight management strategies can be utilized by patients struggling with obesity, which may lead to substantial weight loss, resolution of associated medical conditions and improved psychosocial health. In fact, the most successful strategy involves a multidisciplinary approach under the guidance of trained specialists that includes a combination of tactics, including: Behavioral adaptations Dietary modifications Physical exercise Anti-obesity medications Weight loss surgery
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Nationally Recognized Heart Surgeons Join Renown Health
Two Open-Heart Surgeons and Two Advanced Practitioners Bring Nearly 70 Years of Local Experience. As part of a continuing focus on offering comprehensive care for patients experiencing cardiac and vascular disease across northern Nevada, Renown Health Department of Surgery and Renown Institute for Heart & Vascular Health have developed Renown’s first division of cardiothoracic surgery dedicated to heart surgery patients. “Hoy me enorgullece anunciar que los cirujanos cardiotorácicos, Athan Roumanas, M.D., FACS, y Joseph Brandl, M.D., FACS, que representan más de 45 años de experiencia combinada en el cuidado de residentes de Nevada con necesidad de una cirugía a corazón abierto, dirigirán este nuevo consultorio en Renown”, dijo Anthony Slonim, M.D., Dr.PH., FACHE, presidente y director ejecutivo de Renown Health. “Las profesionales de atención avanzada Cindy Powers y Ashley White aportan otros 23 años de atención experta a nuestra comunidad y a la nueva división de cirugía cardiotorácica”. El Dr. Roumanas tiene 18 años de experiencia en el norte de Nevada. He is a clinical associate professor of surgery at the University of Nevada, Reno School of Medicine (UNR Med) and currently serves as medical director of cardiothoracic surgery for Renown Regional Medical Center. Desde 1991, el Dr. Brandl ha cuidado de nuestra región y ha ocupado numerosos puestos en toda la comunidad, incluido el de director de Cirugía Cardíaca de Renown y profesor adjunto de la comunidad en la UNR Med. Renown Institute for Heart & Vascular Health offers the most highly-skilled and experienced heart and vascular team and the most advanced heart center in the region. Renown has long been the region’s heart care leader – performing the area’s first open-heart surgery, angioplasty, stent and valve replacements decades ago. En 2015, Renown Regional se convirtió en el primer hospital de la región en ofrecer reemplazo de válvula aórtica transcatéter (transcatheter aortic valve replacement, TAVR), una alternativa salvadora a la cirugía a corazón abierto para pacientes considerados de alto riesgo o inoperables. Renown se encuentra entre los hospitales de mejor desempeño del país para el tratamiento de ataques cardíacos y es uno de los únicos 105 hospitales de todo el país en recibir el premio ACTION Registry Silver Performance Achievement Award del Colegio Estadounidense de Cardiología, que reconoce el éxito en la implementación de un estándar de atención más alto para pacientes con ataques cardíacos. Additionally, Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) were the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. This distinction is based on sustained unit performance and patient outcomes that exceed national benchmarks. As Reno’s only locally-owned, charitable, not-for-profit integrated health network, Renown continues to meet customer demand for affordable healthcare and enhanced service and access by keeping the highest levels of clinical quality care right here in our community. Los pacientes que necesitan atención cardíaca avanzada pueden hablar con su proveedor de atención médica sobre la atención de especialidad del Renown Medical Group, con el que puede comunicarse llamando al 775-982-6270 o si visita renown.org/HeartCare.
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Renown Home to "Communications Team of the Year"
Renown Health team recognized nationally for excellence in health care communications and outreach. Each year, Ragan Communications and PR Daily celebrate the most successful teams in the communication, public relations, marketing and employee wellbeing industries. As the leading voice in organizational communications – both internal and external – Ragan Communications recognizes the industry’s best communications teams. This prestigious award recognizes professional excellence while inspiring and engaging other current and future communicators regarding best practices. This year, Ragan Communications and PR Daily have selected the Marketing, Communications, Patient Experience and Community Outreach Team for Renown Health as “Communications Team of the Year.” In selecting Renown Health for this honor, Ragan judges noted that Renown Health earned its spot as a “Communications Team of the Year” for their communications response to the COVID-19 pandemic and for engaging the community to build a high-quality, trusted and desired health care experience, brand and reputation. Specifically the judged noted that Renown “implemented a Health Incident Command Structure to serve the community, organizing communications resources to mitigate, prepare, respond, communicate and recover from the COVID-19 outbreak and enhancing Renown ‘s capacity to provide access to care. The Renown team also implemented a plan to communicate safety, and prevention messaging, creating and distributing timely, accurate, and relevant communications customized to audience needs to reduce anxiety and maintain Renown’s leadership position for patient safety.” Judges also noted the success of the inspirational brand and messages of the “Fight the Good Fight” campaign, which helped to inspire and motivate a community through a difficult time. Through the pandemic, the Communications team also successfully implemented a new website, renown.org. Over 2.2 million people a year now visit the site to find a doctor by reading honest reviews from certified patients for Renown Medical Group providers, enroll for Hometown Health insurance benefits or seek health information or care. The Renown Health Marketing, Communications, Patient Experience and Community Outreach Team is led by Suzanne Hendery, Cristal Herrera, Emily MacMillan, Whitney Hansen and Annie Zucker and represent professionals with research, digital, web, communications, marketing, outreach, customer service and relationship-building expertise. The team was selected as one of three health care organizations and amid a flood of impressive entrants from all industries including Twitter and 3M. Commenting on the team, Thomas Graf, MD, FAAFP, CEO of Renown Health said, “We are very proud that Renown Health has been honored for excellence in communications. Improving the health and wellness of an entire population of people is a huge task- and it takes all of us, working together, to accomplish great things. We focus on preventing illnesses, and we benefit from a team of professional communicators who believe in- and demonstrate our mission- to keep people healthy, to make healthcare more accessible and affordable, and to achieve the vision of a healthy Nevada.” Renown Health está contratando personas para ocupar puestos clave para apoyar la salud y el bienestar de nuestra comunidad, y alienta a aquellos a quienes les apasiona el sector de servicios a unirse a la familia de Renown para luchar por la causa justa. Apply at careers.renown.org. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de 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. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®.
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Update on Elective Surgical Procedures and Medical Services
Hoy, según las recomendaciones del cirujano general de los EE. UU. y del American College of Surgeons, el Comité Ejecutivo Médico Conjunto de Renown Health decidió que, a partir del martes, 17 de marzo, los casos quirúrgicos programados en el Renown Regional Medical Center y en el Renown South Meadows Medical Center, que se consideren ELECTIVOS OPCIONALES se pospondrán a una fecha posterior. Los pacientes que tienen programadas cirugías ELECTIVAS OPCIONALES recibirán una llamada telefónica de representantes de Renown Health la próxima semana. Surgeon’s offices will also be reaching out to assist patients with rescheduling their surgeries for a future date. Elective surgeries that are REQUIRED and not optional will be evaluated on a case-by-case basis daily with the surgeon, patient and a medical leadership review committee at Renown. Your surgeon’s office will be in contact with you with more information about these REQUIRED surgeries This temporary measure will allow Renown’s physicians and staff to enact the emergency preparedness plans they have been developing for weeks to create additional capacity for inpatients and to continue to deliver high quality care during the anticipated surge in COVID-19 cases in northern Nevada. The new guidelines do NOT apply to EMERGENCY surgeries performed in Renown hospitals. There are different types of surgery, this decision impacts Elective-Optional surgeries only. Elective – Optional surgery – Elective surgeries are not usually necessary for the individual to stay in good health. They are non-emergency and planned in advance. A wide range of surgeries can be elective. Most cosmetic surgeries are elective. Other surgeries such as organ donation, scoliosis surgery, tonsillectomies and other minor surgeries can also be considered elective. Required surgery – Surgery which needs to be done in order to retain quality of life. As opposed to urgent or emergency surgery, required surgeries do not need to be performed immediately. Examples of required surgery are kidney stone or tumor removal. Urgent or emergency surgery – When a patient’s condition is life threatening, surgery is considered emergent. Emergency surgeries must be performed immediately, even when the patient is unconscious and cannot give consent. Examples include trauma and appendicitis. Life-threatening conditions can occur during labor and delivery which may require emergency surgery. Other services making changes include: Pulmonary Services and Procedures Renown Health today will begin rescheduling patients scheduled for Pulmonary Function Testing, Outpatient bronchoscopy and patients at Thomas S. Dolan Pulmonary Rehabilitation. Renown llamará a los pacientes afectados por este cambio para reprogramar sus citas para el lunes 20 de abril de 2020 o en una fecha posterior. Starbucks at Renown and Renown Dining Options As with many of the Starbucks around the U.S., the Starbucks at Renown Regional Medical Center will shift to a “to-go” model, with no seating available. The cafeterias at Renown Regional Medical Center and South Meadows Medical Center remain open, will temporarily eliminate self-service options and will add more ‘grab and go’ options. Other Renown Services Remain Open Renown Medical Group offices remain open. Planned imaging procedures such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRIs), mammograms and non-invasive cardiology testing will continue at Renown hospitals and office locations and will NOT be postponed at this time. Patients confirmed for imaging appointments will be contacted prior to their scheduled visits to identify those who may be at higher risk of COVID-19 infection. Renown has expanded access to Teladoc virtual visits, available to all Hometown Health and Senior Care Plus subscribers. Para obtener información actualizada sobre el abordaje de Renown para mantener la seguridad de la 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.
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Programa de cardiopatía estructural
The Renown Health Structural Heart Program was the first integrated program of its kind in northern Nevada. Since the beginning, we've been dedicated to providing specialized care to patients with complex and progressive structural heart and valve disease. Our team of experts offer comprehensive diagnostics, advanced treatment options, leading-edge technologies and top-level expertise.
