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[traumanurses] Re: traumanurses Digest V4 #72

To: traumanurses@listserve.com
Subject: [traumanurses] Re: traumanurses Digest V4 #72
From: "Deb Battle" <DBattle@ghsnet.org>
Date: Wed, 23 Mar 2005 07:47:53 -0500
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Please add me to the list of people interested in "Running on Empty"


Deb Battle, RN, MS, CEN, CCNS
Trauma Clinical Nurse Specialist/ Program Manager
Gwinnett Medical Center
1000 Medical Center Blvd.
Lawrenceville, GA 30045
678-442-3742
dbattle@ghsnet.org

>>> ecartis@listserve.com 3/22/2005 11:01 PM >>>
traumanurses Digest     Tue, 22 Mar 2005        Volume: 04  Issue: 072

In This Issue:
                [traumanurses] Re: Donation after Cardiac Death
                [traumanurses] Re: on call PACU times
                [traumanurses] Re: Running On Empty
                [traumanurses] Re: Running On Empty
                [traumanurses] Re: Running On Empty
                [traumanurses] Re: Running On Empty
                [traumanurses] FW: funding opportunity Target Stores
                [traumanurses] Re: traumanurses Digest V4 #71

----------------------------------------------------------------------

From: "Bingham, Kirstie" <Binghamk@centracare.com>
Subject: [traumanurses] Re: Donation after Cardiac Death
Date: Tue, 22 Mar 2005 08:18:11 -0600

Our Organ Procurement representatives have been working very closely
with
our Ethics Committee.  They are wonderful folks to work with.  My
advice is
to work with them on policy drafting.  Good luck! Kirstie
-----Original Message-----
From: Krcil, Shaye [mailto:SKrcil@rcrh.org] 
Sent: Monday, March 21, 2005 2:42 PM
To: traumanurses@listserve.com 
Subject: [traumanurses] Donation after Cardiac Death

Does anyone have a policy to allow for organ donation after cardiac
death
that they would be willing to share?  We are just beginning to explore
this
possibility at our facility and would appreciate any guidance/input.

Thanks,
Shaye Krcil, RN
Trauma Services Coordinator
Rapid City Regional Hospital
605-719-7122

Subscribers who do not comply with the rules of this listserv will be
unsubscribed.  STN does not take any responsibility for the
information
shared on this listserv.  



------------------------------

From: "Bingham, Kirstie" <Binghamk@centracare.com>
Subject: [traumanurses] Re: on call PACU times
Date: Tue, 22 Mar 2005 08:20:11 -0600

Our policies state all OR staff need to respond in 30 minutes.  If they
live
further away than 30 minutes they must stay on site.  No exceptions.
Kirstie
 

-----Original Message-----
From: Walsh RN-CCRN, John [mailto:jwalsh@affinityhealth.org] 
Sent: Monday, March 21, 2005 2:27 PM
To: 'traumanurses@listserve.com'
Subject: [traumanurses] Re: on call PACU times

 

I would like some advice on how you measure arrival times from on call
PACU
nurses.  The calls are often made between 60-30 minutes prior to being
needed.  Individuals living further away get more time to travel as the
OR
crew  or supervisor who calls knows how far they need to travel from
home,
short cases have no option they must come immediately.  I need to know
what
you are doing to obtain usable objective data on their availability.
Thanks!!!

 

 

John Walsh 
Program Director Trauma Services 
Affinity Health System-Mercy Medical Center 
920-223-3352,   Fax 920-223-3353 

 

 

This message is intended only for the use of the individual or entity
to
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privileged and confidential. State and Federal law, including, but not
limited to, the Health Insurance Portability and Accountability Act of
1996
and related regulations, legally protects this information. If you are
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------------------------------

Date: Tue, 22 Mar 2005 08:27:10 -0600
From: "MARCIA BULLEIGH - EARLEY" <MBULLEIG@srhc.com>
Subject: [traumanurses] Re: Running On Empty

I'm interested in this information too. Thanks Marcia

Marcia Bulleigh-Earley, RN, BSN, MBA
Education Coordinator
Dept. of Organizational Development
Salina Regional Health Center
400 S. Santa Fe
Salina, KS  67401
(V)  785-452-7834
(F) 785-452-7700
(cell) 452-4721
mbulleig@srhc.com 

Friends are like angels who lift  us to our feet, 
when our wings have trouble remembering how to fly.


Confidentiality Notice:  This e-mail message, including any
attachments, is priviledged and confidential.  It is intended only for
the use of the individual and/or entity names above.  Any unauthorized
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the intended recipient, please contact me by reply e-mail and destroy
all copies of the original message. Thank you. 

>>> Carolynn.Morris@multicare.org 03/21/05 03:37PM >>>
Have any of you implemented a program called "Running on Empty" or any
other hospital program about the psychosocial impact of severe injury
on
patients, family and caregivers?  If so, can you please share?

Carolynn Morris, RN BSN CEN
Trauma Educator/Outreach Coordinator
Tacoma Trauma Trust for:
     Tacoma General Hospital
     St. Joseph Medical Center
     Mary Bridge Childrens Hospital

phone 253.403.8667
pager 253.207.9878
fax 253.403.7539
PO Box 5299
mail stop 315-J1-TRM
Tacoma, WA 98415-0299
email carolynn.morris@multicare.org 

The information contained in this e-mail message may be privileged,
confidential and protected from disclosure.  If you are not the
intended
recipient, any dissemination, distribution or copying is strictly
prohibited.  If you think that you have received this e-mail message
in
error, please notify the sender via e-mail or telephone at
253-403-8661



NOTICE:  This e-mail and the attachments hereto, if any, may contain
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this e-mail, you are hereby notified that any dissemination,
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error, please immediately notify the sender by email or telephone and
permanently delete this e-mail and the attachments hereto, if any, and
destroy any printout thereof. MultiCare Health System, Tacoma, WA
98415
(253) 403-1000. 

------------------------------

From: "Walsh RN-CCRN, John" <jwalsh@affinityhealth.org>
Subject: [traumanurses] Re: Running On Empty
Date: Tue, 22 Mar 2005 09:25:47 -0600

I would like to have this information as well!!!  Thanks in advance
 
 
John Walsh 
Program Director Trauma Services 
Affinity Health System-Mercy Medical Center 
920-223-3352,   Fax 920-223-3353 


-----Original Message-----
From: Carolynn J. Morris [mailto:Carolynn.Morris@multicare.org] 
Sent: Monday, March 21, 2005 3:37 PM
To: traumanurses@listserve.com 
Subject: [traumanurses] Running On Empty



Have any of you implemented a program called "Running on Empty" or any
other
hospital program about the psychosocial impact of severe injury on
patients,
family and caregivers?  If so, can you please share?

Carolynn Morris, RN BSN CEN 
Trauma Educator/Outreach Coordinator 
Tacoma Trauma Trust for: 
     Tacoma General Hospital 
     St. Joseph Medical Center 
     Mary Bridge Childrens Hospital 

phone 253.403.8667 
pager 253.207.9878 
fax 253.403.7539 
PO Box 5299 
mail stop 315-J1-TRM 
Tacoma, WA 98415-0299 
email carolynn.morris@multicare.org 

The information contained in this e-mail message may be privileged,
confidential and protected from disclosure.  If you are not the
intended
recipient, any dissemination, distribution or copying is strictly
prohibited.  If you think that you have received this e-mail message
in
error, please notify the sender via e-mail or telephone at
253-403-8661


NOTICE: This e-mail and the attachments hereto, if any, may contain
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prohibited. If you have received this transmission in error, please
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delete
this e-mail and the attachments hereto, if any, and destroy any
printout
thereof. MultiCare Health System, Tacoma, WA 98415 (253) 403-1000. 


This message is intended only for the use of the individual or entity
to
which this e-mail is addressed. This message may contain information
that is
privileged and confidential. State and Federal law, including, but not
limited to, the Health Insurance Portability and Accountability Act of
1996
and related regulations, legally protects this information. If you are
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------------------------------

Subject: [traumanurses] Re: Running On Empty
Date: Tue, 22 Mar 2005 09:00:20 -0800
From: "Alice Evans" <AEvans@communitymedical.org>

I would like to have this information as well Thanks in advance
Alice Evans, RN, CCRN
Clinical Educator, Critical Care
University Medical Center
Fresno, CA
(559)459-4554 fax (559) 459-3766
aevans@communitymedical.org 
        -----Original Message-----
        From: traumanurses-bounce@mailman.listserve.com 
[mailto:traumanurses-bounce@mailman.listserve.com] On Behalf Of Walsh
RN-CCRN, John
        Sent: Tuesday, March 22, 2005 7:26 AM
        To: 'traumanurses@listserve.com'
        Subject: [traumanurses] Re: Running On Empty
        
        
        I would like to have this information as well!!!  Thanks in
advance
         
         

        John Walsh 
        Program Director Trauma Services 
        Affinity Health System-Mercy Medical Center 
        920-223-3352,   Fax 920-223-3353 


                -----Original Message-----
                From: Carolynn J. Morris
[mailto:Carolynn.Morris@multicare.org] 
                Sent: Monday, March 21, 2005 3:37 PM
                To: traumanurses@listserve.com 
                Subject: [traumanurses] Running On Empty
                
                

                Have any of you implemented a program called "Running
on
Empty" or any other hospital program about the psychosocial impact of
severe injury on patients, family and caregivers?  If so, can you
please
share?

                Carolynn Morris, RN BSN CEN 
                Trauma Educator/Outreach Coordinator 
                Tacoma Trauma Trust for: 
                     Tacoma General Hospital 
                     St. Joseph Medical Center 
                     Mary Bridge Childrens Hospital 

                phone 253.403.8667 
                pager 253.207.9878 
                fax 253.403.7539 
                PO Box 5299 
                mail stop 315-J1-TRM 
                Tacoma, WA 98415-0299 
                email carolynn.morris@multicare.org 

                The information contained in this e-mail message may be
privileged, confidential and protected from disclosure.  If you are
not
the intended recipient, any dissemination, distribution or copying is
strictly prohibited.  If you think that you have received this e-mail
message in error, please notify the sender via e-mail or telephone at
253-403-8661


                NOTICE: This e-mail and the attachments hereto, if any,
may contain privileged and/or confidential information. It is intended
only for use by the named addressee(s). If you are not the intended
recipient of this e-mail, you are hereby notified that any
dissemination, distribution or copying of this e-mail and the
attachments hereto, if any, is strictly prohibited. If you have
received
this transmission in error, please immediately notify the sender by
email or telephone and permanently delete this e-mail and the
attachments hereto, if any, and destroy any printout thereof.
MultiCare
Health System, Tacoma, WA 98415 (253) 403-1000. 
                

        This message is intended only for the use of the individual or
entity to which this e-mail is addressed. This message may contain
information that is privileged and confidential. State and Federal
law,
including, but not limited to, the Health Insurance Portability and
Accountability Act of 1996 and related regulations, legally protects
this information. If you are not the intended recipient of this
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distribution, or action taken in reliance on the contents of these
documents is strictly prohibited. If you have received this
information
in error, please delete the message, with all accompanying
attachments,
and notify the sender so that we may correct our records.


-------------------------------------------------------
WARNING/CONFIDENTIAL: 
-------------------------------------------------------
This email, including attachments, may contain information that is
privileged, confidential, and/or exempt from disclosure under applicable
law (including, but not limited to, protected health information).  It
is not intended for transmission to, or receipt by, any unauthorized
persons.  If the reader of this message is not the intended recipient
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was sent to you in error, do not read it.   Reply to the sender
informing them of the error and then destroy all copies and attachments
of the message from your system.   Thank you.

------------------------------

Date: Tue, 22 Mar 2005 12:00:56 -0500
From: "Susan Rzucidlo" <srzucidlo@psu.edu>
Subject: [traumanurses] Re: Running On Empty

interested as well
any product info available
THANKS
 
Susan E. Rzucidlo, MSN, RN
Pediatric Trauma Program Manager, CNS
Coordinator, Dauphin County SAFE KIDS
Penn State Children's Hospital 
Milton S. Hershey Medical Center
Penn State Shock Trauma Center
500 University Drive, Mail Code H075, Hershey, PA 17033
Phone 717-531-7161  FAX  717-531-3784
 
This message (including any attachments) contains information intended
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Any inappropriate use, distribution or copying of the message is
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or civil penalty. If you have received this transmission in error,
please reply to the sender indicating this error and 
delete the transmission from your system immediately. 
>>> MBULLEIG@srhc.com 03/22/05 9:27 AM >>>
I'm interested in this information too. Thanks Marcia

Marcia Bulleigh-Earley, RN, BSN, MBA
Education Coordinator
Dept. of Organizational Development
Salina Regional Health Center
400 S. Santa Fe
Salina, KS  67401
(V)  785-452-7834
(F) 785-452-7700
(cell) 452-4721
mbulleig@srhc.com 

Friends are like angels who lift  us to our feet, 
when our wings have trouble remembering how to fly.


Confidentiality Notice:  This e-mail message, including any
attachments, is priviledged and confidential.  It is intended only for
the use of the individual and/or entity names above.  Any unauthorized
review, use, disclosure, or distribution is prohibited.  If you are
not
the intended recipient, please contact me by reply e-mail and destroy
all copies of the original message. Thank you. 

>>> Carolynn.Morris@multicare.org 03/21/05 03:37PM >>>
Have any of you implemented a program called "Running on Empty" or any
other hospital program about the psychosocial impact of severe injury
on
patients, family and caregivers?  If so, can you please share?

Carolynn Morris, RN BSN CEN
Trauma Educator/Outreach Coordinator
Tacoma Trauma Trust for:
     Tacoma General Hospital
     St. Joseph Medical Center
     Mary Bridge Childrens Hospital

phone 253.403.8667
pager 253.207.9878
fax 253.403.7539
PO Box 5299
mail stop 315-J1-TRM
Tacoma, WA 98415-0299
email carolynn.morris@multicare.org 

The information contained in this e-mail message may be privileged,
confidential and protected from disclosure.  If you are not the
intended
recipient, any dissemination, distribution or copying is strictly
prohibited.  If you think that you have received this e-mail message
in
error, please notify the sender via e-mail or telephone at
253-403-8661



NOTICE:  This e-mail and the attachments hereto, if any, may contain
privileged and/or confidential information.  It is intended only for
use
by the named addressee(s).  If you are not the intended recipient of
this e-mail, you are hereby notified that any dissemination,
distribution or copying of this e-mail and the attachments hereto, if
any, is strictly prohibited.  If you have received this transmission
in
error, please immediately notify the sender by email or telephone and
permanently delete this e-mail and the attachments hereto, if any, and
destroy any printout thereof. MultiCare Health System, Tacoma, WA
98415
(253) 403-1000. 
Subscribers who do not comply with the rules of this listserv will be
unsubscribed.  STN does not take any responsibility for the
information
shared on this listserv.  




------------------------------

Subject: [traumanurses] FW: funding opportunity Target Stores
Date: Tue, 22 Mar 2005 09:35:03 -0800
From: "Lynn Bennink" <LBennink@communitymedical.org>

FYI--see below for potential small grant funding for injury
prevention/violence prevention.
Lynn
Lynn Bennink, RN, BSN 
Trauma Program Manager 
University Medical Center 
Fresno, CA 
559-459-4343 

-----Original Message-----
From: Gloria Garcia [mailto:ggarcia@first5fresno.org] 
Sent: Tuesday, March 22, 2005 9:01 AM
To: Wilma Hashimoto; Andrea Bressel; Barbara Swan; Calli Biaggi;
Christine Ortiz; Dia Yang; Kathleen Cagle; Kathy Garabed; Laurie
Primavera; Leoncio Vasquez ; Lynn Bennink; Margarita Serrano; Mary Jo
Quintero; May Blia Ly; Michelle Garcia; nancy; Nayamin Martinez; Paula
Castadio; Rebecca Wade ; Richard Brandt-Kreutz; Shannon Garcia; Susan
Willoughby; Terrie Ikeda; Toni Munoz; Veronica Ybarra; Vivian Simons ;
Wendy Gonzales; Teri Reichert; Elizabeth Dias ; Margarita Rocha
Subject: funding opportunity Target Stores



Hi Service Providers

See below funding opportunity. ~Gloria

 

 

 

 

Target Stores Opens Community Giving Grants Program

 Deadline: May 31, 2005

 

 Applications are now available for the Target Stores (
http://target.com/ ) Community Giving grants program,

 which currently focuses on three areas: arts, family violence
prevention, and reading.

 

 Target funds early childhood reading programs that promote a love of
reading or encourage children to read together

 with their families. Programs that inspire young readers (birth
through
third grade) are a particular focus of the  program. Target support
for
the arts includes grants to  make art exhibitions, classes, and
performances more  affordable and accessible for families. Programs
that
bring arts to schools or school children to the arts are  of
particular
interest. Target also supports family  violence prevention, including
funding for parenting  education, crisis nurseries, family counseling,
after-  school programs, support groups, and abuse shelters.

 

 Most grants will range between $1,000 and $3,000.

 

 Applicants must be 501(c)(3) tax-exempt nonprofit organizations or
public agencies. Organizations in Alaska,  Hawaii, or Vermont are not
eligible for this program.

 

 Target will accept grant applications between March 1 and May 31,
2005.
Applications must be submitted to a local

 Target store team leader, who will review the application and make
funding recommendations. Applications will be  reviewed as they are
received; therefore, applicants are  encouraged to apply early.

 

 Visit the Target Web site for complete grant guidelines.  Application
forms are available at Target stores and  online.

 

 RFP Link: http://fconline.fdncenter.org/pnd/1139/target 

 

 For additional RFPs in Community Improvement/Development,

 visit: http://fdncenter.org/pnd/rfp/cat_community.jhtml 

 

 

 

 


-------------------------------------------------------
WARNING/CONFIDENTIAL: 
-------------------------------------------------------
This email, including attachments, may contain information that is
privileged, confidential, and/or exempt from disclosure under applicable
law (including, but not limited to, protected health information).  It
is not intended for transmission to, or receipt by, any unauthorized
persons.  If the reader of this message is not the intended recipient
you are hereby notified that any dissemination, distribution or copying
of this communication is strictly prohibited.  If you believe this email
was sent to you in error, do not read it.   Reply to the sender
informing them of the error and then destroy all copies and attachments
of the message from your system.   Thank you.

------------------------------

From: Connie.Mattice@spectrum-health.org 
Subject: [traumanurses] Re: traumanurses Digest V4 #71
Date: Tue, 22 Mar 2005 13:25:11 -0500

Shaye, I would refer  you to the organ donor web site or GOL web site,
there
is  many examples of policy. Wisconsin University has a extensive
history
with good data on the use of  a DCD policy as well as a excellent
policy
online, Others is Pittsburg U. We are in the throws of finalizing our
first
policy, it is still in draft form however. There is several template
but of
course must be hospital specific, Hope this helps. 
Connie Mattice 
TPM
Grand Rapids Mi 
connie.mattice@spectrum-health.org 

-----Original Message-----
From: ListServe.com Ecartis Server [mailto:ecartis@listserve.com] 
Sent: Monday, March 21, 2005 11:02 PM
To: traumanurses digest users
Subject: traumanurses Digest V4 #71


traumanurses Digest     Mon, 21 Mar 2005        Volume: 04  Issue: 071

In This Issue:
                [traumanurses] FW: trauma diversion policy
                [traumanurses] Re: FW: trauma diversion policy
                [traumanurses] Re: on call PACU times
                [traumanurses] Donation after Cardiac Death
                [traumanurses] Running On Empty

----------------------------------------------------------------------

From: Hursh Melinda <Melinda.Hursh@HCAhealthcare.com>
Subject: [traumanurses] FW: trauma diversion policy
Date: Mon, 21 Mar 2005 11:30:12 -0600



Melinda Hursh,RN
Trauma Program Coordinator
Sunrise Hospital & Medical Center
Sunrise Children's Hospital
Office (702) 784-7943
Pager (702) 699-3632
Cell    (702) 860-6350
melinda.hursh@hcahealthcare.com 



-----Original Message-----
From: Hursh Melinda 
Sent: Monday, March 21, 2005 9:24 AM
To: 'traumanuses@listserve.com'
Subject: trauma diversion policy


I am looking for  policies for trauma divert/capacity for your
instituitions--would anyone be willing to share? Thanks so much

Melinda Hursh,RN
Trauma Program Coordinator
Sunrise Hospital & Medical Center
Sunrise Children's Hospital
Office (702) 784-7943
Pager (702) 699-3632
Cell    (702) 860-6350
melinda.hursh@hcahealthcare.com 



------------------------------

Date: Mon, 21 Mar 2005 12:55:50 -0500
From: "Michele Ziglar" <ziglam@shands.ufl.edu>
Subject: [traumanurses] Re: FW: trauma diversion policy

see attachment
 
Michele K. Ziglar, RN, MSN
Trauma Program Manager
Shands at the University of Florida
Office: 352-265-0851 /43872
Beeper: 888-961-9054
Email:  ziglam@shands.ufl.edu 
 
1600 SW Archer Road
Room 2010
PO Box 100395
Gainesville, FL  32610-0395


>>> Melinda.Hursh@HCAhealthcare.com 03/21/05 12:30 PM >>>



Melinda Hursh,RN
Trauma Program Coordinator
Sunrise Hospital & Medical Center
Sunrise Children's Hospital
Office (702) 784-7943
Pager (702) 699-3632
Cell    (702) 860-6350
melinda.hursh@hcahealthcare.com 



-----Original Message-----
From: Hursh Melinda 
Sent: Monday, March 21, 2005 9:24 AM
To: 'traumanuses@listserve.com'
Subject: trauma diversion policy


I am looking for  policies for trauma divert/capacity for your
instituitions--would anyone be willing to share? Thanks so much

Melinda Hursh,RN
Trauma Program Coordinator
Sunrise Hospital & Medical Center
Sunrise Children's Hospital
Office (702) 784-7943
Pager (702) 699-3632
Cell    (702) 860-6350
melinda.hursh@hcahealthcare.com 


Subscribers who do not comply with the rules of this listserv will be
unsubscribed.  STN does not take any responsibility for the
information
shared on this listserv.  




-- Binary/unsupported file stripped by Ecartis --
-- Type: application/msword
-- File: 5.05 Trauma Center Bypass.doc



------------------------------

From: "Walsh RN-CCRN, John" <jwalsh@affinityhealth.org>
Subject: [traumanurses] Re: on call PACU times
Date: Mon, 21 Mar 2005 14:27:09 -0600

I would like some advice on how you measure arrival times from on call
PACU
nurses.  The calls are often made between 60-30 minutes prior to being
needed.  Individuals living further away get more time to travel as the
OR
crew  or supervisor who calls knows how far they need to travel from
home,
short cases have no option they must come immediately.  I need to know
what
you are doing to obtain usable objective data on their availability.
Thanks!!!
 
 
John Walsh 
Program Director Trauma Services 
Affinity Health System-Mercy Medical Center 
920-223-3352,   Fax 920-223-3353 


 

This message is intended only for the use of the individual or entity
to
which this e-mail is addressed. This message may contain information
that is
privileged and confidential. State and Federal law, including, but not
limited to, the Health Insurance Portability and Accountability Act of
1996
and related regulations, legally protects this information. If you are
not
the intended recipient of this information, or if you are not properly
authorized to receive this information, you are hereby notified that
any
disclosure, copying, distribution, or action taken in reliance on the
contents of these documents is strictly prohibited. If you have
received
this information in error, please delete the message, with all
accompanying
attachments, and notify the sender so that we may correct our records.



------------------------------

Subject: [traumanurses] Donation after Cardiac Death
Date: Mon, 21 Mar 2005 13:41:48 -0700
From: "Krcil, Shaye" <SKrcil@rcrh.org>

Does anyone have a policy to allow for organ donation after cardiac =
death that they would be willing to share?  We are just beginning to =
explore this possibility at our facility and would appreciate any =
guidance/input.

Thanks,
Shaye Krcil, RN
Trauma Services Coordinator
Rapid City Regional Hospital
605-719-7122


------------------------------

Subject: [traumanurses] Running On Empty
Date: Mon, 21 Mar 2005 13:37:01 -0800
From: "Carolynn J. Morris" <Carolynn.Morris@multicare.org>

Have any of you implemented a program called "Running on Empty" or any
other
hospital program about the psychosocial impact of severe injury on
patients,
family and caregivers?  If so, can you please share?
Carolynn Morris, RN BSN CEN
Trauma Educator/Outreach Coordinator
Tacoma Trauma Trust for:
     Tacoma General Hospital
     St. Joseph Medical Center
     Mary Bridge Childrens Hospital

phone 253.403.8667
pager 253.207.9878
fax 253.403.7539
PO Box 5299
mail stop 315-J1-TRM
Tacoma, WA 98415-0299
email carolynn.morris@multicare.org 

The information contained in this e-mail message may be privileged,
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End of traumanurses Digest V4 #71
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End of traumanurses Digest V4 #72
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"MMS <ghs.ghsnet.org>" made the following annotations.
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