February is American Heart Month: Be Heart Healthy

heart attack signs

Dr. UlvelingHeart attack and cardiac arrest are two topics that have been in the news lately and are critical things to discuss relative to heart health. Manning Regional Healthcare Center sat down with Dr. Kyle Ulveling, the hospital’s visiting Cardiologist in the specialty clinic to learn more.

“A heart attack and cardiac arrest are different diagnoses with two very different treatments,” said Ulveling, MD. “A heart attack is when there is not enough blood flow to the heart. The warning signs are typically exertional chest pain or other exertional symptoms like jaw, arm, or teeth pain. It typically will get worse with activity and better with rest. If you have any of these signs don’t wait until it’s so bad that you don’t think you can complete an activity. Get checked out right away either by your primary care provider, an urgent care, or at the ER if it is severe.”

Other common warning signs of a heart attack can include:

  • Fullness, indigestion, or a choking feeling
  • Sweating, vomiting, or dizziness
  • Severe weakness, anxiety, fatigue, or shortness of breath
  • Fast or uneven heartbeat

“Cardiac arrest is not necessarily a blockage problem of the heart, it’s where the heart has gone out of rhythm and is either too slow or too fast, not getting enough blood to the body. This is treated with things like CPR, shocks from either an AED, or in the hospital from a defibrillator,” Ulveling said. “One of the best things that you can do just as a person in the community is, if you’ve got access to training, learn how to do CPR and be trained how to use an AED. You can help somebody in the future should that happen to them.”

MRHC offers monthly CPR/AED training for anyone who wishes to be trained. Upcoming class dates are March 20 and April 17 at 6p.m. in the MRHC education room located in the maintenance shed behind the hospital. Course fee is $50 and includes a certificate and book.

Those interested in registering should call (712) 655-8179.

How to Maintain a Healthy Heart

While some heart issues can be hereditary, there are ways to help maintain a healthy heart. Dr. Ulveling shares some tips on things you can do without a doctor’s help for your heart health.

“Number one, moderate things in your diet like sodium, fats, or carbohydrates. That doesn’t mean you can’t have any, but recommended amounts can help prevent heart damage in the future. Number two, moderate physical activity for 20 minutes a day at least five days a week. This can be walking, biking, or any other uninterrupted, athletic activity. Lastly, regular well checks. Even if you don’t have a complaint, providers would much prefer to catch things earlier rather than when they might cause symptoms later on,” advised Ulveling.

It is also important to abstain from tobacco and vaping, find ways to manage stress to the best of your ability, and control high blood pressure, diabetes, and cholesterol with medications if necessary.

If you have any heart health concerns, Dr. Ulveling with the Iowa Heart Center in Carroll comes to Manning offering cardiology services on the first and third Tuesday of every month. Cardiac nuclear imaging & stress testing can be performed on an as needed basis. On the third Tuesday of the month, echocardiograms are performed in the specialty clinic.

If you have a history of heart health complications or have any heart health concerns, talk to your primary care provider about scheduling a cardiology appointment with Dr. Ulveling. To make an appointment to see Dr. Ulveling at MRHC, call (712) 792-6500.

 

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Nissen Celebrates Over 50 Years at MRHC

Linnet Nissen

Linnet NissenAfter 51.5 years of dedication to Manning Regional Healthcare Center, Linnet Nissen, a recognizable name and face for many current and past MRHC patients, employees, and providers, has made the decision to retire. Nissen was hired at Manning General Hospital in September of 1971 and she recalls how things were quite different back then.

“When I first started, I did switchboard, admissions, and all other office duties,” Nissen shared. “I was hired to do medical transcription for all the doctors and surgeons which was interesting since I didn’t have any medical background or transcription experience. I took typing in high school which consisted of the first semester on a manual typewriter and the second semester electric. I was told to leave blanks on the words I didn’t know, which ended up being a lot. So, I relied on the nurses quite a bit. I would put the tape back in the Dictaphone, run it up to the nurse’s station, and they would tell me what the word was. They later hired a transcriptionist to do that, and I moved into other shifts.”

Since starting her career at Manning General Hospital in the early 70s, Nissen has held a variety of roles and worn several hats throughout the years.

“I have done billing for all insurances, home health care insurance billing, reconciled Medicare, XIX and BC logs for fiscal year end, admissions with scheduling, transcription, and helped with the control center for fire, ambulance, and police when Manning General Hospital had the control center in their business office. We also did rural water and lifeline for a few years,” Nissen recalled. “I liked working with all the departments, but when we moved into our new building in 2014, I wanted to be up front as I enjoy taking care of and talking with our patients. I have known a lot of them for many, many years.”

Throughout her 50+ years at MRHC, Nissen has seen healthcare change and evolve before her eyes. She recalls that the installation of their first computer system was one of the biggest advancements at the hospital during her career.

“I think that was in the middle 80s, and we have probably gone through at least four or five different systems since then throughout my time at the hospital,” Nissen said. “With the upcoming changes for the new computer system and after working for 51 years, I decided it was time to retire.”

As Nissen looks forward to retirement, she reflects on all the relationships she has built with all the people she has met through MRHC.

“I have had a lot of memorable moments throughout the years. All my supervisors have been great, and I have been through it all with several personnel, weddings, graduations, deaths, and many laughs over the years,” Nissen shared.

“Linnet is the epitome of dedication having worked a majority of her life at MRHC,” said MRHC CEO, Linn Block, RN, BSN, MHA. “She will be missed by so many of our patients and staff and leaves a legacy of kindness, compassion, and empathy for all those she encounters. We wish her health, happiness, and fun in her retirement.”

It’s no surprise that after 51 years, Nissen has grown close to many patients, employees, and providers and finds retirement somewhat bittersweet.

“I think my longevity with working at MRHC has to do with the people and patients and the fact that I really didn’t want to travel to go to work. I raised my three children from the age of three months until they all graduated from high school while working here,” Nissen shared. “I feel I will leave a lot of my heart and soul at MRHC because they have also been a family to me. I will truly miss the patients, families, and employees who have made my job so complete and fulfilling. This isn’t goodbye, it is see you all later. Thanks for the memories…”

To join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

MRHC to Focus on Patient Experience in 2023

patient portal

The new year has come with some new opportunities on the horizon for MRHC patients. Throughout the past year, a team of MRHC staff have been working diligently to learn and implement a new electronic health record (EHR) system that will vastly improve patients’ access to care and the overall patient experience.

MRHC has partnered with St. Anthony Regional Hospital in Carroll to implement this electronic record system as St. Anthony has utilized the Meditech My eChart system for a few years now.

“At MRHC, we recognize that our patients’ time is valuable. The new patient portal allows patients to easily access their personal health information online wherever and whenever they want,” said MRHC CEO, Linn Block, RN, BSN, MHA. “Patients will eventually be able to request appointments, pre-register for scheduled appointments, request prescription renewals, and pay bills online.”

This new system allows MRHC to coordinate care across providers, colleagues, and partners; reduce time lost from data transfers between departments or clinics; and communicate more effectively with patients.

“Our theme for the past few weeks has been ‘pardon our progress’ as we realize that this transition is stressful for staff, and we know that once it is launched it might also be overwhelming for patients at first. However, we know that progress is happening, and the end results will be valuable for everyone,” said Block. “Our goal is to continue improving the patient experience while also encouraging our staff to spend more time with the patient and less time in recordkeeping.”

Oftentimes, hospitals can become siloed, but MRHC recognizes that patients deserve to have one point of access, especially for the services accessed under one roof. MRHC benefits from one integrated record across the hospital, emergency department, and clinics as it eliminates gaps in information when patients are transferred from affiliate hospitals and clinics.

“When we first began the research process to determine which patient portal system to transition to, we were attracted to the Meditech EHR,” said Block. “The fact that St. Anthony was already using this system, their staff could help train our team, and ultimately our systems could talk to each other, was very beneficial for our patients and staff. Plus, if a patient wants to receive care at MRHC but is typically seen at St. Anthony, we will now be able to access those records upon the patient’s request, and vice versa. This improves our regional healthcare system and enhances the patient’s healthcare experiences close to home.”

Some of the additional features patients will have access to include requesting appointments; checking in for upcoming appointments; communicating with providers; paying bills online; and viewing visit history, discharge instructions, lab results, radiology reports, their health summary, allergy and medication listings, immunization records, and outstanding balances.

This system also allows patients to keep the most important people in the loop by connecting with providers and giving authorized family members access to their important health information within the online portal.

The go-live date for the online portal is planned for February 15, 2023. To register for the portal, patients are encouraged to set-up an appointment and be seen by their provider. Login credentials will be given to patients at this visit. An app is available for the portal and can be accessed from the Apple or Google Play stores where users can search for and download the Meditech MHealth app.

For any appointment after February 1st, patients will need to bring their driver’s license, insurance card, and medication list. Patients are also asked to arrive early for their next appointment as there will be new forms to fill out for the portal.

Is it a cold, the flu or COVID? How to Combat Seasonal Illnesses

seasonal illness

While many people may think seasonal illnesses are worse around the holidays, flu season actually peaks in February. Since we are not quite in the clear yet, here is some important information from Manning Regional Healthcare Center (MRHC) to educate you about and prepare you for seasonal illnesses as well as some tips to help prevent illness.

According to MRHC Infection Preventionist, Jill Arp, influenza numbers are continuing at a steady pace. Common symptoms of the flu usually come on suddenly and include some or all of the following:

  • Fever or feeling feverish/chills are common and typically last three to four days
  • Aches are common and often severe
  • Chest discomfort and cough are common and can be severe
  • Sneezing, sore throat, and runny or stuffy nose can sometimes occur
  • Muscle or body aches are common and can be severe
  • Headaches are common
  • Fatigue and weakness are common
  • Some people experience vomiting and diarrhea, but it is more common in children than adults

“To help protect yourself, it isn’t too late to get your flu shot,” says Arp, RN, BSN. “Doses are available at MRHC until the end of March, we just ask that you call ahead so we can be prepared.”

Complications from the flu are possible and can range in severity. According to the CDC, moderate complications can include sinus and ear infections, while serious complications such as pneumonia can result from either the flu virus infection alone or from co-infection of flu virus and bacteria. Other possible serious complications can include inflammation of the heart, brain, or muscle tissues and multi-organ failure, including respiratory and kidney failure. Flu virus infection of the respiratory tract can trigger an extreme inflammatory response in the body and can lead to sepsis.

The flu also can make chronic medical problems worse. For example, people with asthma may experience asthma attacks while they have the flu, and people with chronic heart disease may experience a worsening of this condition.

People at Higher Risk from Flu

Anyone can get sick with the flu, but some people are at higher risk of developing serious flu-related complications if they get sick. Those 65 years and older, people with certain chronic medical conditions (asthma, diabetes, or heart disease), pregnant women, and children younger than five years old are at the highest risk, according to the CDC.

Warning Signs for Flu Complications in Children

When we’re sick, it can be difficult to know when a visit to the doctor is necessary, especially if it’s a child. Be aware of these warning signs and if your child displays any of the following, seek medical attention as soon as possible:

  • Fast breathing or trouble breathing
  • Bluish lips or face
  • Ribs pulling in with each breath
  • Chest pain
  • Severe muscle pain (child refuses to walk)
  • Dehydration (no urine for eight hours, dry mouth, no tears when crying)
  • Not alert or interacting when awake
  • Seizures
  • Fever above 104 degrees that is not controlled by fever-reducing medicine or any fever in children younger than 12 weeks
  • Fever or cough that improves but returns or worsens
  • Worsening of chronic medical conditions
Warning Signs for Flu Complications in Adults
  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in the chest or abdomen
  • Persistent dizziness, confusion, and inability to arouse
  • Seizures
  • Not urinating
  • Severe muscle pain
  • Severe weakness or unsteadiness
  • Fever or cough that improves but returns or worsens
  • Worsening of chronic medical conditions

“It’s important to remember that if you or your child has a chronic health condition, are experiencing a persistent high fever, shortness of breath, chest pain, or the inability to keep any food or fluids down, it is more important to see your doctor sooner rather than letting it run its course,” advised Arp.

Common Cold Vs Flu or COVID-19

Especially at the beginning of an illness, it can hard to tell whether it’s just a common cold, the flu, or COVID. Here are some key differences to look for.

Common Cold Symptoms
  • Symptom onset is gradual
  • Fevers and headache are rare
  • Slight aches are possible
  • Chills are uncommon
  • Sometimes people experience fatigue and weakness
  • Sneezing is common
  • Mild to moderate chest discomfort and hacking cough
  • Stuffy nose and sore throat are common
COVID symptoms
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

If you or a loved one test positive for COVID-19, it is important to watch for these emergency warning signs and seek medical attention if these symptoms are present:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Pale, gray, or blue-colored skin, lips, or nail beds, depending on skin tone
People at Higher Risk from COVID-19

While anyone is at risk of getting COVID, older adults, people with certain underlying medical conditions (including infants and children), and people who are pregnant are at higher risk.

Like the flu, COVID-19 can also lead to a variety of health complications including:

  • Pneumonia
  • Respiratory failure or acute respiratory distress syndrome (fluid in the lungs)
  • Sepsis
  • Cardiac injury (for example, heart attacks and stroke)
  • Multiple-organ failure (respiratory failure, kidney failure, shock)
  • Worsening of chronic medical conditions (involving the lungs, heart, or nervous system or diabetes)
  • Inflammation of the heart, brain, or muscle tissues
  • Secondary infections (bacterial or fungal infections that can occur in people with flu or COVID-19)

“To help protect yourself and others from sickness this winter, wash your hands often, get your immunizations, get enough sleep/rest, eat healthy, drink plenty of fluids, and stay away from those who are not feeling well,” shares Arp.

If you are not feeling well, MRHC offers convenient clinic hours and same-day appointments for minor illnesses. Call (712) 655-8100 to schedule an appointment.

 

 

 

Vitito Thrives as Nurse Practitioner at MRHC

Sara Vitito

Sara VititoManning Regional Healthcare Center’s Family Practice Clinic provider, Sara Vitito, ARNP, knew she wanted to work in healthcare for as long as she can remember. When a position became available at MRHC, Vitito jumped at the opportunity to practice in the community she lives in.

“My mom is a nurse practitioner and inspired me to be the provider I am today,” Vitito shared. “Practicing close to home gives me the ability to care for those in the community and establish relationships. And MRHC provides a sense of community. Patients are not just a number here; they are our friends, family, and neighbors.”

After receiving her BSN from the University of Nebraska Medical Center (UNMC) in 2017, Vitito worked as a nurse with CHI-Lakeside, caring for patients in an inpatient setting and ER. She went back to school for her DNP in 2018 at UNMC. During graduate school, Vitito worked at Methodist Health Systems as an ER nurse. When she finished her Doctorate in Family Practice in May 2021, she then took a position at CHI- Bergan as an ER provider. Vitito joined the MRHC team in March of 2022, providing coverage in the ER and offering same-day appointments in the Family Practice Clinic.

“I love seeing different patients every day with a variety of conditions,” said Vitito. “The ER coverage fulfills my love for the ER and the same-day appointments help improve access to care for patients in the community.”

This new clinic appointment structure (launched in early 2022) provides same-day appointments for both established and new patients who need to be seen for a minor injury or illness.

“This model allows patients to be seen in a clinic instead of being hit with an ER or urgent care cost,” Vitito explained. “I have heard from patients, ‘Wow, I was so happy I could be seen so quickly here in Manning’ and ‘I really appreciate the flexibility in availability to have my children be seen before and after the workday.’ And it has been extremely useful, especially during the cold/flu season.”

Vitito is one of four providers in the Family Practice Clinic who sees patients on a regular basis. The clinic also includes Dr. McLaws, DO, Dr. Luong M.D., and Courtney Rupiper, PA-C.

“Sara has been such a great addition to our clinic team,” said MRHC Clinic Director, Shelby Dickson, RN. “She is always positive and upbeat, and she delivers great care. Plus, her ability to provide same-day access for our patients has really helped improve the care we provide to the community.”

Not only does Vitito enjoy the variety of work she does on a daily basis, but she is also grateful for a supportive team and positive work environment at MRHC.

“We have a fantastic facility to practice in, and I love my coworkers and the team we have here! The providers I work with are all willing to help whenever needed, and the work environment is positive and friendly,” said Vitito. “MRHC has anniversary lunches to celebrate milestones, gifts for nurse practitioner week, provider meals at Christmas, and gifts hospital-wide during the holidays. MRHC also has a Christmas party for all staff to build relationships outside of work. And I have a great work life balance with a flexible schedule.”

For anyone interested in pursuing a career as a nurse practitioner or something similar, Vitito shared this encouraging advice.

“Being a nurse practitioner has endless opportunities. You can work in a big city, rural community, or even teach,” said Vitito. “Take as many clinic or shadowing opportunities as possible to learn what you enjoy, and never be afraid to ask questions because it allows for growth in knowledge. And do not let the amount of schooling deter you! It goes faster than you think.”

If you are in need of a same-day appointment due to a minor injury or illness, call (712) 655-8100. To join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.

MRHC to Host Walk-in Flu Shot Clinic October 29th

flu shot

Still need a flu shot? Manning Regional Healthcare Center will be hosting a walk-in flu shot clinic on Saturday, October 29th from 8-11am at MRHC in Manning.

The cost is $30 or can be billed to insurance. Fluzone high dose for individuals 65 and older along with Fluzone regular dose for those six months and older will be available. COVID-19 boosters will also be available during the clinic if desired. No appointments are necessary. Those who would like to get a flu shot sooner can schedule an appointment in the clinic by calling (712) 655-8100.

“Getting the flu vaccine is one of the best ways to protect yourself and others during flu season so we encourage anyone six months and older to get their flu shot,” said MRHC Infection Prevention and Employee Health Nurse, Jill Arp, RN, BSN.

Local businesses that are interested in having MRHC administer flu shots to their employees should reach out to Infection Preventionist, Jill Arp, at (712) 655-8170 or email jill.arp@mrhcia.com.

Bivalent COVID-19 booster shots are also available at MRHC by appointment. These cover two strains of COVID-19 and anyone 12 and older can get it if they have completed a primary COVID-19 series and two months have passed since the last shot.

MRHC Hosts Healthcare Career Camp for IKM-Manning Students

healthcare career camp

Manning Regional Healthcare Center hosted 24 IKM-Manning middle and high school students for a Healthcare Career Camp on Thursday, September 29th to introduce students to healthcare careers, tour the facility, and participate in simulations and hands-on activities.

“Recruitment to the healthcare field continues to be a challenge, so we wanted to spark an interest in students starting with middle school and high school-age students,” shared MRHC Chief Nursing Officer, Michelle Andersen, RN, BSN. “We collaborated with the IKM-Manning guidance counselors to form a mutually beneficial partnership. MRHC purchased mannequins and supplies to make it as hands-on as possible. We plan to offer the event to students at IKM-Manning two to three times per year in the fall and spring months.”

Students stopped at seven stations throughout the hospital to learn more about the different roles of healthcare, the variety of healthcare fields, and learn useful skills to utilize after leaving.

The stations included:

Ambulance
MRHC staff set up a scenario in which an ambulance was called to the scene of a grain bin fall or ATV rollover. EMTs shared first aid measures that would be conducted at the scene of the accident: how to apply pressure to wounds (stop the bleed), support for the limbs, and how to limit exposure. Responders talked about their role and how they would assist with transfer to a medical facility. The groups toured the ambulance and learned about the ambulance crew’s duties.

Emergency Room
A doctor, nurse, pharmacist, and respiratory therapist followed a Trauma Nursing Process (TNP) with a manikin. Students learned a variety of things that would happen in emergency situations including IV or IO access, medication from the pyxis, confidentiality and HIPPA and regulations, intubation using a pig’s lung, CPR/LUCAS device, and more.

Laboratory and Radiology
Students toured both departments and were able to draw blood through an IV manikin and viewed samples under the microscope in the lab. In the radiology department they took x-rays of a pig’s leg while wearing lead aprons and learned about CT scan and MRI capabilities.

Surgery
This station featured the job responsibilities performed by a surgeon, anesthesia, and surgery techs. Students had hands-on experiences working in a sterile environment, donning/doffing surgical garb, suturing a pig’s skin, and dissecting a pig heart.

Recovery Center
Students met with the Recovery Center staff to learn about the substance abuse program and the services offered at MRHC.

Family Practice Clinic, Specialty Clinic, Infection Control, and Therapy Department
In this session, students learned about the follow-up process with providers after an injury. Students were able to see the teamwork and integration that happens between multiple departments within the hospital. The tour started in the Family Practice Clinic where students learned about proper handwashing techniques, practiced giving a flu shot on oranges, and listened to a patient’s breathing.

Clinic staff shared information about medication management and each of their roles, as well as the career paths taken to get to those positions. The students toured the Specialty Clinic where they were able to cut a cast and remove staples. The experience wrapped up with a tour of the therapy department where many follow-up services, provided by physical therapy, occupational therapy, and speech therapy, occur.

First Aid
Students filled a first aid kit and learned how each item should be used. The groups then discussed their perspectives of the camp and had a chance to ask any follow-up questions regarding the schooling necessary for healthcare careers they were interested in.

When asked what their favorite part of the camp was, students shared, “I liked to go in the x-ray & surgery room.” “My favorite part was being able to see the different departments. I loved being able to see different jobs and do hands-on activities.”  “My favorite part was holding the pig heart and leg. Also seeing the little pig lungs inflate.”  “The EMS & ER part was my favorite.” “I liked going to the clinic and when I got to do an IV on a manikin arm.” “I liked learning about all the different jobs that make up a clinic and that there are SO many possibilities in healthcare. I like that we got to wear scrubs and a stethoscope.” “I loved everything that we did. It was very fun, especially if you want to be in the medical field.”

When asked if they would recommend this experience to other classmates, students shared that they definitely would. “It’s a great opportunity for people to learn about the healthcare field.” “It’s just a good place and might be a job opportunity.” “There were SO many things to learn.”

IKM-Manning High School Guidance Counselor, Amy Bemus echoed the students’ responses about the effectiveness of the event. “The students had nothing but positive things to say about their experiences at the Healthcare Career Camp! They loved all the hands-on activities and felt like they really got to see a variety of careers that are available in the healthcare industry. This was an absolutely wonderful opportunity for the students, and I am so pleased that everyone was able to work together to provide that for them! We look forward to continuing this partnership with the hospital!”

“We have already had other school districts reach out with an interest in conducting a camp for their students as well,” shared Julie Hodne, event coordinator. “So, this has evidently sparked interest both in the community and beyond.”

Danner to Offer Senior Health Insurance Information Services at MRHC

Nancy Danner

Where can I go to find answers about Medicare prescription drug plans? What is a Medicare Advantage plan? My medications have gotten so expensive I just can’t afford to take them all, is there any help?

Answers to these and other Medicare questions can be found by meeting with Nancy Danner, Manning Regional Healthcare Center’s new Senior Health Insurance Information (SHIIP) counselor. Danner is at MRHC to meet with individuals every Wednesday by appointment. Nancy Danner

“We’re so excited to welcome Nancy in her new role as a SHIIP counselor,” said Amy McLaughlin, CPA, Chief Financial Officer at MRHC. “She will be a great resource for individuals turning 65, those who are considering changing Medicare benefits, or for anyone simply wanting to learn more about their current benefits.”

SHIIP is a free, confidential service of the State of Iowa. Danner completed extensive training and shadowing before being certified. In her role at MRHC, Danner will provide information to aid in Medicare decision-making and answer questions related to Medicare itself, benefits, Medicare supplement insurance, Advantage plans, Medicare Part D plans, Medicare insurance claims, and how to guard against becoming a victim of Medicare fraud. She will not provide recommendations for plans or agents but will be able to answer questions and provide impartial information to help residents make informed decisions and assist people who have a limited income.

“The best time to start getting information is before you actually need it, so I recommend at least 6-12 months before someone turns 65 years old,” Danner recommended.

Danner worked as a registered nurse for 27 years in the Carroll County area, a Certified Physician Assistant for 16 years in Manning, and then a Certified Medical Coder at MRHC the last four years prior to retiring in August and transitioning to this volunteer position.

“I wanted to volunteer for something that was really needed,” Danner shared. “SHIIP helped my husband and I when we had to make Medicare-related decisions and we found the volunteer counselors were very helpful.”

Danner and her husband Rich live on a farm southeast of Templeton and have two grown sons, Chris and Matt.

Anyone interested in making an appointment with Danner can email shiip.counselor@mrhcia.com or call MRHC at 712-655-8100. If a client is only wishing to talk on the phone, they may leave their phone number and Danner will return their call.

Wound Care Clinic Receives Clinical Distinction and Patient Satisfaction Awards

wound care team

Biannual award acknowledges superior wound healing rates, excellence in patient satisfaction.

Manning Regional Healthcare Center is pleased to announce that the Wound Care Clinic is a dual recipient of RestorixHealth’s Clinical Distinction and Patient Satisfaction Awards. Recipients of these awards meet or exceed national quality benchmarks over a set period of time.

“The Wound Care Clinic is proud to be recognized again for not only its dedication to healing but also its dedication to patient satisfaction,” said Dr. Thang Luong, M.D. “We are proud to be a recipient of an award that recognizes the hard work and dedication of our staff.”

RestorixHealth’s Clinical Distinction award recognizes centers that have demonstrated success by meeting or exceeding patient safety goals along with a healing rate above 90%. The Patient Satisfaction award recognizes centers that have met or achieved a patient satisfaction score of 96% or higher. The MRHC Wound Care Clinic has now received this dual award three times in addition to a Center of Excellence award in 2019.

The Wound Care Clinic is dedicated to optimizing outcomes and preventing lower limb loss in patients with non-healing wounds. This approach to wound care is aggressive and comprehensive, coordinating traditional and advanced therapies and techniques that are proven to reduce healing time and improve healing rates.

Since non-healing wounds rarely result from a single cause, the Wound Care Clinic begins with a thorough evaluation and diagnostic testing to determine the underlying cause of the wound. A treatment plan is then developed to give patients the best chance for healing. Most treatments are covered by Medicare/Medicaid, HMOs, and other private insurance. wound care team

Manning’s clinic is staffed by Dr. Thang Luong, M.D., Kendra Tiefenthaler, RN, and supported by Elaine Macumber, RN. Integrating a team of wound care professionals optimizes patient care, while offering the most advanced healing options for hard-to-heal wounds.

The MRHC Wound Care Clinic is held every Thursday. For more information about treatment plans or to schedule an appointment, please call 712-655-8100.

About RestorixHealth

RestorixHealth, the nation’s leading wound care solutions company, develops and operates advanced wound healing centers and provides wound healing direct-care services, education, and advanced wound supplies nationwide. Forging strong relationships with their partners, RestorixHealth’s customized wound healing programs and solutions increase the access to care, lower or avoid direct care costs, reduce hospital admissions, improve outcomes, and increase patient and partner satisfaction. For more information, visit www.RestorixHealth.com.

Macumber Makes Career Strides at MRHC

Elaine Macumber

When Elaine Macumber and her husband, Jeremia, moved back to Manning, there weren’t any dental assistant jobs available in the Manning community. Having previously worked as a dental assistant, she was interested in continuing her career in the medical field without having to travel out of town, so she took a job at MRHC as a medical records/admissions staff for about a year until moving into materials management. One day, MRHC Chief Nursing Officer, Michelle Andersen, called Macumber and ultimately changed the trajectory of her career. Elaine Macumber

“I told Elaine, ‘I think you would make a great nurse and we’ll even pay for you to go to school’, and she did! She is not the only one. We try to mentor and help our employees with leadership development both externally and internally,” shared Andersen, RN, BSN.

Macumber went on to utilize the tuition program at MRHC to complete her LPN and RN education at Western Iowa Tech Community College.

“MRHC has provided me with a lot of career advancement,” Macumber said. “With the tuition assistance, the decision to go to school was easier on me. We didn’t have to worry about the financial obligation that school has with it, and I could focus on learning. Nursing school is a tough schedule anyways and with flexible hours at MRHC I was able to work full-time while in school and it really helped me get through. There are also a lot of great nurses at MRHC who helped me learn quickly.”

Macumber started her nursing career at MRHC working in ER/acute care before moving to the specialty clinic as a staff nurse. She took on additional training in the specialty clinic to be able to mix and administer chemotherapy and perform cardiac stress tests.

“The experience working in acute care and ER was great. I got to see a lot of good teamwork and you get to see a lot and learn from the house supervisors who guide you,” Macumber shared.

Now serving as the Specialty Clinic Manager, Macumber manages staffing and takes care of all specialty clinic provider needs. She will also continue as a clinical nurse in the specialty clinic performing infusions, assisting patients in consultations with the specialty doctors, and educating patients prior to surgical procedures.

“I really enjoy the specialty clinic,” Macumber said. “We have ten different clinics that we assist with, so every day is something different. I enjoy talking with the providers and learning as much as I can from them. I plan to work in the specialty clinic for a long time and we hope to expand our services when the need in the community presents.”

Not only does Macumber enjoy her role in the specialty clinic because of the variety of her work and the ability to continually learn something new, the people also make a big impact.

“I love the team environment here at MRHC, every employee has the patient’s interests at heart,” shared Macumber. “We work together to make our patients’ experience as pleasant as possible and still have fun while we do it.”

Specialty Clinic Services

The MRHC specialty clinic has several specialty doctors that see patients in Manning on a regular basis. Services include cardiology; dermatology; ear, nose, and throat (ENT); infusions; mental health; OB-GYN; orthopedics; pain clinic, podiatry; surgery; urology; and wound care. Visit www.mrhcia.com/events to learn more about the specialty area, the specialist or doctor(s) who provide the clinic, and what day they are available. For more information or to set up a consultation with any of the doctors, please call (712) 655-8100.

If you would like to join the MRHC team, visit www.mrhcia.com/careers or call (712) 655-2072 for more information on current job openings.