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Understanding the Reasons Behind Heavy Menstrual Cycles
While menstrual cycles can be an annoying inconvenience for many women, heavy bleeding (menorrhagia) is not normal and can disrupt your life. A few days of heavy flow at the start of your period is usually nothing to worry about. However, if you’re frequently experiencing very heavy periods, you should discuss it with your gynecologist or primary care provider. Dr. Megan Fish, an OB-GYN with Renown Women’s Health, discusses various reasons, evaluation and treatment methods when it comes to heavy menstrual cycles. What is classified as heavy menstrual bleeding? The American College of Obstetricians and Gynecologists considers heavy bleeding to be any of the following signs: Bleeding that lasts more than 7 days. Bleeding that soaks through one or more tampons or pads every hour for several hours in a row. Needing to wear more than one pad at a time to control menstrual flow. Needing to change pads or tampons during the night. Menstrual flow with blood clots that are as big as a quarter or larger. What are the most common reasons for heavier periods? A variety of reasons why someone might have heavy periods. Fortunately, most of these problems are treatable. Because each woman's period is unique, only a doctor can definitively determine the cause of your heavy periods. Some of the most common issues that cause heavy periods include: Hormone imbalances such as anovulation, thyroid disease and Polycystic Ovary Syndrome (PCOS). Structural abnormalities in your uterus such as polyps or fibroids. Precancer and cancer such as uterine, cervical, vaginal, ovarian or endometrial hyperplasia. Infections such as chlamydia, gonorrhea, endometritis or vaginitis. Other medical conditions such as liver disease, kidney disease or Pelvic Inflammatory Disease. Medications such as blood thinners and aspirin, hormone replacement therapy, Intrauterine devices (IUDs), birth control pills and injectables. Pregnancy-related problems such as a miscarriage or ectopic pregnancy.
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How to Talk to Your Vaccine-Hesitant Friends About Getting Vaccinated Against COVID-19
Roughly 59% of eligible Nevadans are fully vaccinated against COVID-19 as of mid-September. That number is up 9% from only a month ago, but our work is far from done! One of the most powerful ways to convince someone to get vaccinated is for a person they trust and respect to take the time and have that complicated conversation with them. We know these conversations can be daunting, so we consulted Marie McCormack, MD, Primary Care Division Chief at Renown, about the six best ways to approach and frame these conversations to be productive and effective. 1. Be firm, but not aggressive. 2. Listen to what they have to say, and don’t assume you know why they haven't gotten the vaccine yet. 3. Cater your responses to their concerns. The CDC even has a helpful reference table identifying main reasons people are not getting vaccinated. If they are scared, offer to go with them. If they are not worried about getting sick, explain that they are more at risk of infecting those around them who are more likely to have a severe reaction to the virus. If they don’t know how to make an appointment, help them find the most convenient time and place for their schedule. If they are worried about how fast the vaccine was developed, remind them that the mRNA technology used in these vaccines has been studied for years. If they are worried the vaccine will affect fertility, tell them that in August the CDC officially recommended that pregnant people can get vaccinated. 4. When in doubt, hit them with the stats! 1 in 500 Americans has died from COVID-19. Vaccinated people are nearly five times less likely to get infected, according to the CDC. Vaccinated people are 10 times less likely to get so sick they ended up in the hospital, according to the CDC. 5. Remind them of all the things they might not be able to do if they aren't vaccinated. Attend concerts or sporting events Travel Potentially even keep their job 6. When all else fails, use the tough love approach. Tell these people you don’t feel comfortable meeting with them in person until they are vaccinated.
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Neurosciences Clinical Trials
Neurosciences Clinical Trial Opportunities
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Navigating Pain with Renown Spine, Sports & Pain Management
Chances are you or someone you know will deal with chronic pain at some point in life. In fact, in the U.S. alone, one in five adults have experienced chronic pain in recent years, according to the Centers for Disease Control and Prevention (CDC). The road to relief is a frequently traveled one that can be filled with twists and turns, so it’s important for patients to have a trusted provider by their side navigating that journey. We interviewed Dr. Sharlene Su, a pain management physician with Renown Medical Group, who told us what patients can expect when seeking care with Renown Spine, Sports & Pain Management (RSSPM) and all about the variety of pain relief options available to patients. What pain management treatment options are available outside of painkillers? This depends on someone’s root cause of pain. For example, for pain from arthritis of the spine or major joints, radiofrequency ablation can relieve most of the pain for six months to two years, which can be life changing. If someone is suffering from a pinched nerve in the neck or back, an epidural can be useful. Nerve stimulators can also be a great option to relieve pain for years. One of the advantages of the procedures we perform at RSSPM is that they reduce the need for painkillers, which are notorious for having side effects of their own. Physical therapy can also be a very helpful tool to treat pain. It is an exciting time in the field of pain medicine right now because new advances are -constantly being made. At Renown, we pride ourselves on staying current with the most cutting-edge treatments to ensure our patients always have the best available to them. What are some at-home tips and tricks that patients experiencing pain can do on their own for some relief? If pain is related to posture or physical activity, consider doing stretching and strengthening exercises. YouTube can be a great (and free) resource for this. In terms of medications, over the counter topical pain creams can be great. Tylenol is one of the safest pain medications for those without preexisting liver conditions. On a short-term basis, anti-inflammatory medications can often be used safely depending on one’s overall health. Ice and heat can both be useful for treating muscle pain. Can you tell us more about the services Renown Spine, Sports & Pain Management offers? Our team specializes in identifying the root cause of each patient’s pain and partnering with them to develop a custom plan tailored to their individual needs, which can involve injections, physical therapy and medications. We treat patients ranging from top-level athletes, to weekend warriors, to grandparents who’d like to be able to keep up with their grandkids. Once we relieve a patient’s pain, our role then transforms into a coach, educating and guiding our patients on how to prevent their pain from coming back. At RSSPM, you’ll see the same doctor every time, which means that your provider will get to know you very well, and you’ll receive the same high-quality consistent care whenever you come for a visit. Renown has a unique pain management team called “Special Procedures” that not many people may realize is a great option for care. How does this team treat pain? Our Special Procedures team is crucial to the high-quality pain management care that we provide. We have an amazing staff that assists with X-ray guided procedures including epidurals, radiofrequency ablations, joint injections and nerve stimulators. Dr. Casey Keating, our division chief, and I work with this team to ensure that every procedure is done with the same precision, attention to detail and quality. The Special Procedures team regularly receives feedback from patients on how well taken care of they felt during their procedure. If someone is experiencing pain from an injury or even an unknown reason, what should they do to get care for their concerns? Contact your primary care provider for a referral to have an evaluation with us! RSSPM accepts most insurance plans and are proud that our wait times are averaging less than one week to be seen as a new patient. Two more doctors will be joining us in the next few months, which should reduce our wait times even more. There are so many targeted and effective ways to treat pain nowadays, and it is worth addressing to live the life you want to live.
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Keeping Your Brain Healthy, No Matter Your Age
It’s true there is no cure for dementia, yet studies suggest your life choices today can reduce brain decline in the future. How important is diet to brain health? Food is the foundation of your body. Fats, carbs and protein provide the energy for your cells and metabolism. So the quality and amount of food you eat directly affects your brain. Specifically, researchers are paying special attention to the link a high sugar diet and/ or an unhealthy fat diet may have on your brain. Your brain on sugar According to the Alzheimer’s Association, when too much sugar is in the bloodstream for long periods of time, it can damage the brain cells. Many people with diabetes may develop brain abnormalities, and these changes may increase chances of dementia — research is still being done to understand this connection. Many U.S. adults have prediabetes with blood sugar higher than normal. Insulin resistance often leads to diabetes. Insulin resistance has been linked to metabolic syndrome, which is a precursor for cardiovascular and cerebrovascular disease (heart attack, stroke). Some signs of metabolic syndrome include: Large waist size (40 inches or more for men, 35 inches and up for women) Low HDL (good) cholesterol level Higher than normal blood pressure — 130/85 and above Current research suggests too much sugar in the blood causes inflammation, which can damage brain cells. High carbohydrate foods, such as sweetened beverages, chips, white rice, white potatoes, bagels, cereals and desserts, have been shown to raise blood sugar. Although anyone can get diabetes, Hispanic Americans and African Americans are at greater risk.
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Nationally Recognized Bariatric and Gastroesophagel Surgeon Joins Department of Surgery at Renown
Renown Health, the region’s largest, locally governed, not-for-profit integrated academic health care system serving Nevada, Lake Tahoe, and northeast California is proud to announce the appointment of Alexander L. Ayzengart, MD, MPH, FACS, FASMBS, as the first robotic bariatric and gastroesophageal surgeon to be employed by the Department of Surgery. “Dr. Ayzengart brings a wealth of expertise and experience, specializing in minimally invasive management of obesity, reflux, esophageal and stomach disorders, and select abdominal general surgical conditions,” says Rahul Mediwala, MD, MBA, CEO of Renown Medical Group. “We are committed to addressing the growing need for effective, long-term solutions for obesity, stomach disorders and related conditions. Dr. Ayzengart specializes in gastric bypass, sleeve gastrectomy, and revisional bariatric surgeries, and provides personalized care for people struggling with obesity and its associated risks, such as diabetes, heart disease, and hypertension.” Dr. Ayzengart is affiliated with the University of Nevada, Reno School of Medicine as a clinical assistant professor of surgery and is involved with educational and research efforts through UNR. Dr. Ayzengart earned his medical degree from the University of Michigan Medical School in Ann Arbor, MI. Dr. Ayzengart completed his general surgery residency at the University of California San Francisco Medical Center. He completed subspecialty training in advanced laparoscopic, robotic, and bariatric surgery at the Cedars-Sinai Medical Center in Los Angeles, CA. He also served as a lieutenant commander in the U.S. Navy Medical Corps. As an active-duty general surgeon, Dr. Ayzengart was a staff surgeon at the U.S. Naval Hospital in Camp Pendleton and a department head at the U.S. Naval Hospital in Yokosuka, Japan. “Dr. Ayzengart has earned a national reputation for excellence in patient care, with a holistic approach that emphasizes not only surgical outcomes but also post-surgery support, nutrition, and lifestyle changes for long-term success,” says Christos A. Galanopoulos, MD, MBA, MSc, FACS, VP, Chairman Department of Surgery at Renown Health. “We are fortunate to have him on our team. The addition of bariatric surgery aligns with our mission to provide comprehensive and essential healthcare services to our growing community. Dr. Ayzengart is a superb clinician, skilled investigator and effective educator. His expertise is a critical resource for people looking to achieve a healthier, more fulfilling and active lives.” Dr. Ayzengart is excited to join the Renown team and to serve the community. “I’m honored to be part of such a progressive and innovative healthcare organization that puts people first and prioritizes excellent care. Together, we will help individuals regain control of their health and overall well-being,” said Dr. Ayzengart. Dr. Ayzengart’s clinical interests include bariatric, anti-reflux, gastroesophageal, and abdominal surgery. He is board-certified through the American Board of Surgery and is a Fellow of the American College of Surgeons and American Society for Metabolic and Bariatric Surgery. He is currently a vice president of the California / Nevada state chapter of the American Society for Metabolic and Bariatric Surgery (ASMBS), and previously served as a president-elect of the Florida, Puerto Rico, and the Caribbean state chapter. Dr. Ayzengart is a long-term committee member of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the Society for Surgery of the Alimentary Tract (SSAT), the American Foregut Society (AFS) and ASMBS. He is widely recognized as an expert in the fields of bariatric and gastroesophageal surgery, having published numerous peer-reviewed publications and book chapters, and presented at a variety of regional, national, and international conferences. Dr. Ayzengart is bilingual in Spanish and Russian and is a trainer and mentor for other surgeons who are interested in adopting robotic surgery into their practice. Dr. Ayzengart’s Clinical Expertise Includes: Metabolic bariatric surgery – adult, adolescent, and pediatric; revisional and primary; Anti-reflux surgery, benign gastric and esophageal disorders, peptic ulcer disease; Gastroesophageal cancer surgery and palliative surgery for obstruction of stomach and esophagus; Abdominal solid organ and small bowel surgery for variety of benign and malignant conditions; Advanced therapeutic endoscopy for management of bariatric and foregut complications; Robotic management of inguinal and certain abdominal incisional hernias. If you are a physician and would like to refer patients, or a person who wishes to be screened for surgery by Dr. Ayzengart, please contact Renown Surgery Care at 775-982-6270. Dr. Ayzengart sees patients at Renown Surgery at 1500 E 2nd St, Ste 300 in Reno, NV. As the region’s only Level 2 Trauma Center for adults and children, Renown serves over 1 million people and 100,000 square miles. In U.S. News and World Report Best Hospital Rankings, Renown Regional Medical Center is named #1 Hospital for the State of Nevada for 2024, 2023 and 2022. About the University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. 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 7,500 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.
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First Student Welcomed to Medical Assistant Program at Renown
As the need for Medical Assistants grows, graduating Hug High Health Science Academy senior, Ana Hernandez Rodriguez, starts NHSE sponsored Renown Medical Assistant apprenticeship at TMCC According to the U.S. Bureau of Labor Statistics, employment of Medical Assistants is projected to grow 19 percent from 2019 to 2029, much faster than the average for all occupations. The growth of the aging baby-boom population continues to increase demand for preventive medical services here in Nevada and across the country. An increasing number of group medical practices, clinics, and other healthcare facilities also need medical assistants to perform administrative and clinical duties. Medical assistants work mostly in primary care, a steadily growing sector of healthcare. With an eye towards this future, Renown Health proudly accepted its first student, Ana Hernandez Rodriguez, a graduating senior from Procter R. Hug High School’s Health Science Academy CTE program in Washoe County, into its newly created Medical Assistant apprenticeship program. Ana will begin the program as a full-time employee with benefits and start her apprenticeship coursework at Truckee Meadows Community College (TMCC). Sponsored by the Nevada System for Higher Education (NSHE), Renown’s Medical Assistant Apprenticeship Program was approved by the Nevada State Apprenticeship Council, which was overseen by the Governor’s Office of Workforce Innovation (OWINN), in February. The Renown Medical Assistant Apprenticeship is a one-year competency-based program that includes up to 2,000 hours of On-the-Job training and 193 hours of Related Technical Instruction offered through TMCC. All classroom, clinic and work time is paid. Apprentices work under the supervision of a Medical Assistant, Registered Nurse, or medical provider to assist in responsibilities including escorting the patient from the waiting room to the examination room, taking vital signs, stocking supplies, placing and receiving phone calls including appropriate documentation in the Electronic Medical Record, preparing lab specimens for processing, completing the necessary referral forms, obtaining authorizations and keeping records for referrals. Upon completion of the program, apprentices complete the final exam to become a National Certified Medical Assistant. “NSHE is proud to serve as the apprenticeship program sponsor and create more apprenticeship opportunities like this program throughout Nevada,” said Cheryl Olson, NSHE Apprenticeship Navigator and Director of the Nevada Alliance for Youth Apprenticeship. “We welcome Ana as she joins our extraordinary team of healthcare professionals at Renown,” said Tony Slonim, MD, DrPH, President & CEO of Renown. “We are always looking to support and invest in the next generation of health professionals to address the health needs of our community. Medical Assistants serve an essential role in physician offices, hospitals and other healthcare facilities performing important administrative and clinical responsibilities and assisting in medical care including greeting patients, recording medical histories and vital signs and helping to coordinate care.” According to the US Department of Labor “Projections Central” the demand for Medical Assistants in Nevada will increase by over 25% by 2028, with over 260 job openings available per year. On the importance of apprenticeship programs like Renown’s Medical Assistant program, NSHE Chancellor Melody Rose said, “The Nevada System of Higher Education is committed to promoting more attainable, affordable, and innovative pathways toward successful careers in fields like healthcare, advanced manufacturing, and information technology through apprenticeships. Programs such as the Renown Medical Assistant apprenticeship are changing how we think about accessing higher education and offering true ‘Learn and Earn’ pathways.” Ana’s acceptance into the Medical Assistant apprenticeship program is a proud moment for her soon-to-be alma mater. “Ana has earned this opportunity through hard work and dedication to her studies,” said Melissa Osterhage, who teaches health sciences at Procter Hug High School. “She is a compassionate, caring, and intelligent young woman, and I look forward to seeing everything she will accomplish as she moves forward in a career in the medical field. I couldn’t be more proud of her, and I am grateful she has been awarded this apprenticeship.” Ana graduates from Hug High on June 22 and starts her Medical Assistant apprenticeship program just a few days later on June 29, and is excited for her future. "Being accepted to this opportunity at Renown has been amazing and wonderful. When they told me I was accepted, I was so excited that I cried because I felt so blessed. This is going to help my future in so many ways. It is going to give me the opportunity to work in the medical field. I will start as a Medical Assistant and my goal is to work toward becoming a registered nurse. I took a leap of hope and made it. So, I tell others- believe in yourself and you can accomplish anything in life," she said. Ana is also welcomed to Renown by Michelle Sanchez-Bickley, Chief Human Resources Officer at Renown, who helped coordinate this workforce program. “Healthcare jobs in Nevada represent excellent employment for thousands of Nevadans poised to enter the state’s workforce over the next decade. Opportunities are increasing as we encounter growing demand for health care services at Renown, coupled with population growth, an improving economy, and retirees relocating to the Silver State. Ana and our Medical Assistants are so vital to helping our medical providers care for patients and are critical to the excellent care we provide.” For more information on the next Medical Assistant Apprenticeship program, please email kayla.mcmain@renown.org. To apply for a career opportunity at Renown visit our website. About Renown Health Renown Health is the region’s largest, local not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,200 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath and Neurosciences. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About OWINN OWINN helps drive a skilled, diverse, and aligned workforce in the state of Nevada by promoting cooperation and collaboration among all entities focused on workforce development. Its chief objectives are to prepare all K-12 students for college and career success, increase the number of Nevadans with postsecondary degrees and credentials, and boost employment outcomes in training and credentialing programs. About NSHE The Nevada System of Higher Education, comprised of two doctoral-granting research universities, a state college, four comprehensive community colleges, and one environmental research institute, serves the educational and job training needs of Nevada. NSHE provides educational opportunities to more than 100,000 students and is governed by the Nevada Board of Regents. The System includes the University of Nevada, Las Vegas, the University of Nevada, Reno, Nevada State College, Desert Research Institute, the College of Southern Nevada, Great Basin College, Truckee Meadows Community College, and Western Nevada College. About Washoe County School District The Washoe County School District includes the Reno/Sparks metropolitan area, Incline Village, Gerlach, and Wadsworth, Nevada. The District provides each of its 62,000 students with a superior education in a safe and challenging environment and is committed to graduating every child career- and college ready.
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Honoring Excellence in Patient Communications
“Amazing! Phenomenal! Thank you for always showing genuine concern. You are kind, considerate and caring. You are interested in me. You are the best doctor I have ever had. I trust you with my life. You act on things, right away. You are awesome. You have saved my life, and my family. You are knowledgeable, thorough, intelligent and compassionate. You are my favorite. You are my angel baby. You have made me better. You always make me feel like a success, even if I could have tried harder. I love you. I thank you.” These are some of the comments made by patients regarding their doctors and advanced practice providers honored this morning by Sy Johnson, President and Chief of Staff for Renown Health. In honor of Healthcare Week, Renown Medical Group, the largest medical practice in northern Nevada, honored 46 physicians and advanced practice providers at the Dr. John Spellman Excellence in Patient Communications Award Celebration. This new annual award, supported by the Renown Health Foundation charitable organization and a donor family, honors physicians and advanced practice providers who demonstrate exceptional communications skills in their clinical practice, as awarded by their patients. Recipients of this award are ranked in the top ten percent nationally in provider communication for 2021, as measured by over 11 thousand patients who responded to the Centers for Medicare & Medicaid Services’ (CG-CAPHS) or Clinician and Group Consumer Assessment of Healthcare Providers and Systems patient experience survey between October 2020 and June 2021. Patients were asked if their medical providers explained things in a way they could understand; if they listened carefully; if they showed respect for what they had to say; if they spent enough time with them; if they read their medical records; if they ordered tests and followed up with them on their results; and to give them a rating on a scale of 1 to 10, where 10 was the highest score. “As honorees, your patients have given you a 10, an A+ and you set the gold standard for excellent communications with patients-scoring in the top 10% nationally,” said Rahul Mediwala, MD, Chief Medical Officer for Renown Medical Group. “I love what I do, and it’s wonderful to know that my patients appreciate the care I provide,” said Christina Alsop, DNP, one of the providers honored today. The awards were given in remembrance of Dr. John W. Spellman, human rights advocate, scholar and professor, 7/27/1934 to 6/25/2021 by his family. The Recipients of the 2021 Dr. John Spellman Excellence in Patient Communications Award are: Alsop, Christina Barangan, Caroline J. Basho, Shruti Bloch, Melissa P Bryan, Janice K. Budhecha, Sonia Burgio, Pamela A. Cavin, Lisa C. Dimpel, Ashley J. Dorsa, Denise J. Galanopoulos, Christos A. Galdo, Bella B. Grudzinski, Courtney Dianne Hansen, Benjamin Hardacre, Michael C. Healy, Sara Anne Kermode, Charlotte A. Kiser, Michele J. Klippenstein, Matthew Landis, Philip H. May, Whitney Medina, Mary Beth E. Mindeguia, Catherine E. Miyagawa, Dean Moore, Willa F. Morris, Katelyn Morton, Lillian Nielsen, Lorri Nylk, Janina Park, Susan J. Patel, Bejal Powers, Cindy M. Roumanas, Athan Safdi, Adam Sandefur, Lauren L. Schnell Blitstein, Jamie M. Silverhart, Julie A. Stodtmeister, Russell T. Sutton, Jennifer B. Tay, Jennifer Thyssen, Katherine A. Wagner, Karen Wiese, Matthew C. Wilson, Kristin L, Zucker, Jacob P. Patients served include those at Renown Regional Medical Center, the only Level II Trauma Center between Sacramento and Salt Lake City, and #1 Hospital in the State of Nevada in U.S. News and World Report Best Hospital Rankings for 2021. Physicians and providers also provide services to patients at Renown South Meadows Medical Center, named #1 Best Hospital for 2020 by U.S. News & World Report; and to patients at RenownRehabilitation Hospital, northern Nevada’s only Commission on Accreditation of Rehabilitation Facilities (CARF)- accredited hospital, specializing in the treatment of brain injury, spinal cord injury and stroke. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. Almost 700 Renown Medical Group primary care and specialty providers are currently accepting new patients and accept most health insurance plans, including Renown’s not-for-profit insurance plan, Hometown Health. To find the doctor or provider that is best for you visit renown.org, or self schedule with your established provider at MyChart or call the Renown Customer Engagement Center at 775-982-4100. Renown Health is currently hiring in all areas. Search for a new career opportunity and apply online at careers.renown.org. 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. 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Department Spotlight: Infection Prevention
Hygiene in healthcare is an essential backbone to providing the safest, most optimal care to every patient. From everyday handwashing techniques and getting all necessary vaccinations to surveilling our health system before the onset of outbreaks, at Renown Health, creating and maintaining a low-infection environment is a group effort. From ensuring fundamental infection prevention practices are carried out to identifying process improvement opportunities, Renown’s Infection Prevention (IP) department is here to help care teams be successful in their role. This effort is led by members who are devoted in sharing evidence-based best practices to our patients, employees, healthcare organization partners and community. Making “Zero” A Reality Reducing healthcare-associated infections is possible when core infection prevention practices are incorporated into the daily care of our patients. These team members are dedicated to Renown’s commitment to creating a culture of Excellence, caring for our healthcare environment, and our care teams. “Often times, when asked what we do in our work it can be a challenge to answer because unpredictability is built into almost every day; and in that, we as a team must divide and conquer,” said Susanne James, Manager of Infection Prevention. Every day, each team member is assigned a day to perform required surveillance activities. Whether they are reviewing patients’ infections and isolation and evaluating lab orders for possible infectious processes or reporting communicable diseases to the local health authorities and the CDC, every Infection Preventionist participates in improvement projects and address issues as they arise. The Infection Prevention team plans, organizes, manages and evaluates the Infection Prevention Program and ensures IP policies reflect current best practice. They work closely with all departments at Renown in order to achieve high levels of standards that are implemented to reduce transmission of infection. “As a team, we perform ‘Infection Prevention Environment of Care Rounding’ on all units and departments to ensure our environment complies with regulatory requirements,” said Erika Clark, Operations Analyst at Renown Health. "We work together with Facilities and Site Practice Leaders to ensure a safe environment.” The pandemic challenged all Renown teams to find creative solutions for issues no one ever imagined. Our Infection Prevention department worked tirelessly alongside Renown's Hospital Incident Command Structure (HICS) and care teams in creating several lines of defense against COVID-19, including: Launching Renown's Alternate Care Site to meet the need for critical patients. Bringing on the new lab tests and specimen collection criteria. Managing demand for personal protective equipment (PPE). Bringing vaccines to staff and then to the community. Managing ill employees and our visitors. Keeping all locations informed on pandemic status and changes (which were occurring at breakneck speed). These initiatives enabled Renown's care teams to focus on providing the safest care possible to patients saving countless lives. This solidified the fact that together, the team can accomplish anything. “Infection Prevention is proud to be a valued and respected member of the care team,” said Susanne James. “We appreciate being a trusted resource and take this responsibility seriously as this enables us to provide staff the best possible tools to be successful.” Fight the Good Fight Against the Spread of Disease Educating patients and providers plays a huge part on the Infection Prevention stage. This team provides educational materials on a range of topics, some of the most important are, proper hand hygiene and the use of PPE. All these materials can be found throughout our health system and serve as an important reminder – infection prevention starts with all of us. “We partner with every aspect of the health system – environmental services, nutrition services, lab services, facilities, pharmacy, physical therapy and occupational therapy, respiratory care, patient access, security, nurses, providers and quality...just to name a few!” said Susanne James. Our Infection Prevention team also partners with Washoe County Health District and other public health agencies to report – and in turn, stop the spread of – diseases and exposures. These close partnerships poise our team to do what we do best: Fight the Good Fight. “I greatly appreciate everyone in the IP department for sharing their expertise as I learned a new position,” said Erika Clark. “I love working with my team and how closely we work with other departments to ensure excellence in all we do.” Our health system is ever-changing. But according to the experts in our Infection Prevention department, the three main ways to prevent illness and disease that remain the same time and time again are to: Clean your hands. Hand hygiene is the most effective way of preventing the spread of infections. The CDC recommends washing your hands with warm soap and water for 15-20 seconds or using an alcohol-based hand sanitizer. Clean your hands often and assist our patients to do the same. Learn expert hand-washing advice here. Get vaccinated. Immunizations are one of the top methods you can embrace the fight against preventable diseases, such as COVID-19, flu, measles, tetanus and more. Discover how you can get vaccinated with Renown. Keep germs from spreading. Practice good hygiene by covering your cough or sneeze or wearing a mask and sanitizing frequently touched spaces. Stay home if you feel ill to prevent the spread of illness and infection. Be sure to bring up any illness concerns with your primary care provider. “Every aspect of our health system has an infection prevention component, and we work daily to ensure our staff, patients and visitors are providing and receiving care free from potential harm or infections,” said Susanne James. “We are often the first call staff make when they have questions, concerns or just need someone to help improve process or outcomes.” Reveling with Renown Proudly defining themselves as a “small but mighty” team, the six-person Infection Prevention department moves mountains to ensure the safety of anyone who walks through Renown’s doors. The tight-knit nature of this team can be felt from miles away, and to them, being “small but mighty” is not a hindrance, as they have the support of the IP Champions and the entire health system. “I originally came to Renown in 2018 as a nurse traveler, the facility and people I worked with immediately made an impact on me,” said Brian Stroud, Infection Preventionist at Renown Health. “My wife and I chose Renown and Reno due to the positive impact the people had on us. Everyone is welcoming, helpful and caring. Now, I am a full-time employee, and the team has made my transition into infection prevention trouble-free." Renown’s mission of providing a genuine difference for the health and wellbeing of the community is heightened and echoed by the Infection Prevention team. “I chose Renown because of the reputation Renown has earned in the community because of the excellent care and level of services provided,” said Shannon Oriola, Infection Preventionist at Renown Health. “I absolutely love this team and my Renown family!” “What brought me to Renown was the opportunity to acquire diverse skills which then motivated me to pursue my master’s degree,” added Paul DeLeon, Infection Preventionist at Renown Health. “What keeps me here is the people – Renown attracts hard working, ethical and caring people.” "My wife and I loved coming out to the Nevada mountains on vacations," added Russ Laarman, Infection Preventionist at Renown Health. "After being in Michigan for 47 years, we took the plunge and made NV our home. The experience has been great! I work with a great team that is very knowledgeable and works hard to ensure positive outcomes for our patients and colleagues at Renown.” Their pride shines through with their own individual accolades, both inside and outside of work. This past year: Shannon Oriola received a scholarship from the Association for Professionals in Infection Control and Epidemiology (APIC) for “improving outcomes through knowledge and practice,” which provided her with a $1,000 scholarship to attend the annual APIC conference in Indianapolis. Paul DeLeon earned his Certification in Infection Control and Prevention from APIC. Erika Clark completed Renown’s High Potential program, a six-month program that gives employees hands-on learning experience with several competencies, including emotional intelligence, effective communication, building successful relationships and organizational knowledge. Brian Stroud and his wife Charla became official Nevada residents. Russ Laarman scaled Mount Whitney. ...And the list keeps growing! Charged with the goal of keeping disease spread at bay, our Infection Prevention team remains vigilant and dedicated to their mission. Their commitment to Renown and to keeping our health system clean and healthy proves the age-old saying true: not all heroes wear capes. “I’m so very proud of the work Infection Prevention does every day, working with the vast teams throughout the health system to improve lives,” said Susanne James. “We would like to thank all of you for protecting the health and safety of your colleagues, our patients and the community.”