bbgh pulse box butte

Box Butte General Hospital is an equal opportunity provider

and employer.SAFETY...EXCELLENCE...COMPASSION...INTEGRITY...DEVOTION...TEAMWORKNovember 2018 Edition

BBGH PULSE BOX BUTTEGENERAL HOSPITAL

INSIDE: 2 RHC MEETINGS 3 FINANCIAL POSITION 5 WOMEN 6 CLINIC HAPPENINGS 11 AWESOME

DEPARTMENT FOCUSNew BBGH Dialysis Unit machines enhance patient safety

THE BOX BUTTE General Hospital (BBGH) Dialysis Unit staff is excited about the new machines they recently started using for their patients. “These machines are more efficient, reliable, easy to use, and even though they have so many additional features they are actually more basic in design,” said Dialysis Unit Nurse Manager Kailee Kelly. “Our older ones had many different parts and electronics; which meant they were harder to maintain. These new ones are more durable and dependable.”

The new machines are B.Braun Dialog Plus Evolution models (see photo).

“They are amazing in what they can do,” Ms. Kelly said.

The units have new Dialyzers that retain albumin in the patient. Albumin is the main protein of blood plasma. Older dialysis machines actually removed albumin, while these will allow the patient to maintain their albumin levels. One design change is the use of airless lines, which use less heparin (a blood thinner that prevents the formation of blood clots) and decreases risk for air in lines.

“Another feature that is cool is the fact that Rx cards are now used,” Ms. Kelly said. “Each patient’s pre-loaded dialysis prescription is encoded onto the cards for direct input into the machine. It’s like an ATM card. The doctor tells us what the prescription is through the pre-loaded card. They can also be updated at any time by the charge nurse or the physician.”

An additional upgrade includes Ademia (Adequate Dialysis Measurement) in real time. “That is a huge bonus,” she said. “This is continuous monitoring and display of the dialysis effectiveness during the

patient’s hemodialysis treatment. The system utilizes spectroscopy for the measurement of substances removed from the patient. We can actually see how well we’re cleaning the blood, measuring it in real time so that we can do an intervention during the session if needed, making sure we’re giving them the best treatment we can.”

The older machines had just a few profile options available during dialysis. “These new machines provide several different profiles options, with 23 different ultrafiltration profiles for fluid removal,” Ms. Kelly said. There are also five additional profiling options available to include temperature,

sodium, bicarb, dialysate flow, and heparin.

“Another difference with the new machines is the fact that they use inflation instead of deflation to measure blood pressure,” she added. “This results in faster more accurate readings, while being more comfortable for the patient,” she said.

“All of these new features mean safer and better care for the patients we serve,” Ms. Kelly concluded. This is just one of the many ways Box Butte General Hospital is enhancing services for an excellent patient experience.

Box Butte General Hospital is an equal opportunity provider and employer.

BBGH Dialysis Unit staff is seen here showing off their new B.Braun Dialog Plus Evolution dialysis machines they started using on patients the week of October 1. They are, l-r: Nicole

Stasinksi, RN; Tonya Sanders, RN; Beth Bates, LPN and Mariah Bell, CCHT. The new machines are more efficient, reliable, and easy to use; providing their patients safer and better care.

CLINIC FOCUS

2 BBGH PULSE www.bbgh.org

BBGH LEADERSBOX BUTTE COUNTY COMMISSIONERS

Mike McGinnis, ChairmanDoug HashmanSusan Lore

BOX BUTTE GENERAL HOSPITALBOARD OF TRUSTEES

Tom Furman, DVM, MS, ChairmanJohn Annen, Secretary/TreasurerLinda Schneider, RNRandy Langemeier, CPATom Cummings

BOX BUTTE GENERAL HOSPITALCHIEF EXECUTIVE TEAM

Lori Mazanec, CEOLuke Senden, Chief Financial OfficerJim Bargen, Chief Operations OfficerCarolyn Jones, Chief Nursing Officer Mary Mockerman, Chief Quality Officer

Hemingford and Alliance Rural Health Clinic advisory boards meeting review

THE ANNUAL Hemingford and Alliance Rural Health Clinic (RHC) Advisory Board meetings for Greater Nebraska Medical and Surgical Services (GNMSS) were held October 5 and October 18 respectively. The RHC meetings in Hemingford and Alliance included topics on physician recruitment; Accountable Care Organization; Chronic Care Management progress; a review of volumes and statistics; financial performance; and discussion about the new location and building construction timeline for the Hemingford Clinic.

Individuals in attendance at the Hemingford Clinic meeting were: Box Butte General Hospital (BBGH) Marketing representative Shae Brennan, BBGH CEO Lori Mazanec, Administrative Assistant Brittany Stull, GNMSS Registration Clerk Melissa Stricker, Physician Assistant Brittney Bauer, Advisory Board representatives Lynda Novotny and Blanche Randolph, BBGH COO Jim Bargen, and Clinic Manager Joni Sautter. Mazanec, Stull, Bargen, and Sautter attended the Alliance meeting, with Dr. Jessica Ott, Nurse Practitioner Kristin Ferguson, Marketing representative Brian Kuhn, and advisory board representative Linda Schneider also attending.

Last year’s meeting minutes for both boards were reviewed and approved.

Ms. Mazanec started the meetings with an update on physician recruitment efforts. “We are partnering with Goldfish Medical Staffing to search for two Family Practice Physicians with Obstetrics,” she said. She added that she has been in contact with a third year resident interested in practicing with GNMSS, as well as two first year residents. Ms. Mazanec commented it is often difficult to recruit people to live and work in rural areas if

they aren’t from that kind of environment. One strategy the hospital is focusing on to overcome that obstacle is the recruitment of an in-house Hospitalist at BBGH to augment the already successful remote eHospitalist program that began in December 2017 with Bryan Telemedicine. “I’m happy to report that we are in the contractual stage with a physician to become our in-house Hospitalist at

BBGH,” Ms. Mazanec said. Ms. Sautter added at the Hemingford meeting, “Times are changing. Medical practice used to be an expected interruption to a provider’s life… but now doctors know they can have lives outside work, and don’t want to go to a facility where that is taken away by being on call.” Ms. Bauer added, “eHospitalist is great. Providers not getting a call from the

PCU in the middle of the night, every night, for something like a Tylenol order is a huge benefit.”

Ms. Sautter explained how the Accountable Care Organization (ACO) the hospital joined

in January (Caravan Health) is helping the organization improve quality scores from patients. The ACO assures Medicare beneficiaries get the correct tests, screenings, and medications, driven primarily on the importance of annual wellness visits. To gain more savings, the hospital will be moving to a bigger

collaboration this coming January. “The intent is to reduce cost to Medicare, and a

portion of the shared savings come back to the individual organizations; based on where

they’re ranked on shared savings in their own organization compared to other organizations in the

group,” Ms. Mazanec added.Ms. Sautter discussed progress of Chronic Care Management

at GNMSS, designed to partner the clinics with the hospital’s Emergency Department (ED) and Patient Care Unit (PCU) for follow up when patients are discharged from the ED or the PCU. The goal is to reduce readmissions. She also gave her report on Chart Review results for the past quarter for the two clinics.

Ms. Mazanec gave a summary on volumes/statistics during the year. The Hemingford Clinic had a 24 percent increase in volume, with 259 additional visits over last year. Ms. Bauer said there have been a lot fewer complaints about the availability to get an appointment scheduled. Alliance experienced a 22.7 percent volume increase with 1,723 additional visits compared to last year. Ms. Sautter saying additional providers coming on board was a factor in that improvement as well.

Financially, Ms. Mazanec said the Hemingford clinic is 10.7 percent ahead of revenue projections, and operating expenses are over by about 20 percent, which can be attributed to the addition of more staff for more days as well as addition of services. The Alliance clinic is eight percent ahead of revenue projections for the year, with operating expenses over budget by nearly nine percent, primarily due to additional surgeries and the addition of one family practice physician not included in the preliminary budget.

Good news from Mr. Bargen about the new location/building to be constructed this spring on the main highway going through Hemingford ended both meetings. “Design and development meetings are being held, and we should have schematics starting soon,” he said. “Construction will start in early spring of 2019.” Ms. Novotny commented, “The city is really excited. Anything we can do to make this town flourish is awesome. The new building is going to show people that you care.”


GREATER

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urgicalServicesS

THE BOX Butte General Hospital Board of Trustees met Monday, October 29 at noon to go over the annual audit for fiscal year 2017-18 with Dohman, Akerlund & Eddy, LLC (DAE) representative Kurt Moural. The nearly hour and a half long audit report went over the hospital’s strong financial health in detail, with Mr. Moural reporting that the hospital had a clean audit opinion.

The audit’s Statement of Financial Position shows the hospital’s assets total $66,537,989, nearly $500,000 less than last year. A significant contributor to the decrease is continued high depreciation taken on the hospital’s assets due to the new addition. Total operating revenue increased $1.66 million from last year, to $40,923,368. The Statement of Cash Flows shows an increase in net cash provided by operating activities of $4,693,091 compared to last year’s $3,842,151. The Current Ratio, defined as current assets divided by current liabilities, shows BBGH’s ratio decreased slightly, from 4.8 to 4.4. Mr. Moural said BBGH’s overall liquidity continues to be very comparable with the DAE peer group. Days Cash on Hand increased from 95 days to 110 days in 2018, exceeding the covenant of the USDA loan requiring 90 days cash on hand. Days in Gross Patient Accounts Receivable are also comparable to DAE averages, coming in at 74, a slight increase from 70 days in 2017.

After answering several questions to clarify statements made in the audit’s notes section, the Trustees voted unanimously to approve the audit as presented.

The Trustees also conducted the following business.

The Board recognized Brianna Thompson as the Employee of the Month for October. She was a tech in the Rehab & Wellness Center at the time, recently transferring over to Patient Financial Services. Also recognized were Brianna Smith-Cole, who recently completed her registered nurse education and is an RN for the surgery department now. The recognition segment of the meeting was topped off with the announcement that Martha Douglas, Speech-Language Pathologist in the Rehab & Wellness Center, was recognized at the Nebraska Brain Injury Conference as the 2018 Nebraska Brain Injury Alliance Advocate of the Year. The board then welcomed new employees Sam Gilmore, hospital

registration clerk; Gail Kulas and Brooke Galles, clinic registration clerks; Kaylin Elliott, RN; Dwanequa Murphy, RN and Nikki Akers, RN.

After unanimously approving the consent calendar, Chief Quality Officer Mary Mockerman gave her monthly Quality Management and Safety report. She said the hospital is part of the Nebraska Resource Bridge, which helps track resources, alerts and communications. It is a database-driven web application servicing all areas of the state whether rural or metropolitan. It is designed to track bed, pharmaceutical and resource availability from all designated facilities in the state as well as providing for allocation of these resources to support surge capacity needs. Hospital bed diversion status, emergency event planning, emergency chat, and alert notification are supported in real time. Ms. Mockerman said the particulars of the system will be detailed in more depth in November. She also touched on the status of influenza in Nebraska, with no cases being reported.

With no chief of staff report and no financial report given due to the just completed audit, CEO Lori Mazanec gave a brief update on physician recruitment. Contract negotiations are in the final stages with a Hospitalist specializing in Internal Medicine, with the plan to begin in December. She reported that two physician site visits are also planned in November, saying she’s excited about that development since both have a focus in Family Practice/Obstetrics.

After all credentialing requests were unanimously approved, Ms. Mazanec informed the board that the trustee election of officers would be held at the next regular meeting so that current Chairman Dr. Tom Furman could be present. She said her annual evaluation is due in November necessitating an executive session.

With no further business, the board adjourned at 1:51pm. The next meeting will be held Mon., Nov. 26 in the Alliance Room at 6:30pm.


www.bbgh.org BBGH PULSE 3

TRUSTEESREPORT

PLEASE WELCOME THESE NEW EMPLOYEES AND TRAVELERS TO OUR BBGH FAMILY!

Kaylin Elliott, RN(T), PCU

Dwanequa Murphy, RN(T), PCU

Michele Roberts, RN(T), Staff Nurse

Kate Baillie, RN, Staff Nurse

Caitlen Grimes, LPN, PCU

Gail Kulas, Registration

Annika Wickizer, RN(T)Staff Nurse

AUDITOR:

Financial position at BBGH still strong


Brianna has been with our rehab team for a little over a year, and I feel she is very deserving of this honor. Brianna is very personable, and interacts well with staff and patients. I have had many patients on multiple occasions complement our front office staff mentioning Brianna specifically for either helping them with an issue, or just by complimenting how welcoming she is. Specifically in our department Brianna takes on a wide variety of responsibilities, and her ability to quickly problem solve has been an amazing asset to our team. She is very knowledgeable, and her ability to critically think through any situation is one of the major reasons our department runs as well as it does. She has personally helped me with various situations countless times, without hesitation in an efficient, friendly, and helpful manner. She does a great job of maintaining a positive attitude, and always makes work more enjoyable for everybody due to positive interactions she has with the staff. She is a big part of what makes our department the special group it is. I truly think Brianna has been a wonderful addition to our hospital staff this past year. Congratulations Brianna on being named to 2018 October Employee of the Month!

Congratulations also to Pam Lawrence for being nominated in October!

Testing for Childhood Lead Poisoning Recommended to Prevent Lifelong Health ProblemsTHREE DECADES ago, lead poisoning was a major U.S. health hazard, but the introduction of safety precautions including restrictions on the use of lead-based paint and the removal of lead from gasoline helped to decrease the public exposure to lead. Nonetheless, lead poisoning continues to be a public health hazard and research has demonstrated there is no safe level of lead for children.

“As of 2016, more than 88,000 children nationwide had documented elevated venous blood lead levels that were greater than 5 micrograms per deciliter,” said Regional West pediatrician Todd Brubaker, DO, FAAP. “This is the level,

and greater, at which we have good medical data supporting an increased risk of ADHD and even mild cognitive decline versus children who do not have lead exposures.”

Dr. Brubaker, who specializes in lead and environmental exposures in pediatric patients, added that a child’s blood lead concentration depends on their environment, habits, and nutritional status.

In western Nebraska, lead is commonly found in the soil and employees may be exposed to lead through occupations including industrial painting, heavy machinery refurbishing or refinishing, mining, and natural gas and oil extraction. Houses throughout the region, constructed before 1978, may still contain lead-based paint. The renovation of older homes may release lead ‘dust,’ which is particularly dangerous to children.

All children should be tested for lead poisoning at one and at two years of age via simple finger poke. Children who are on a Medicaid and children who receive WIC are required to have their lead levels tested at one and two years of age.

Parents can reduce a child’s exposure to lead in many ways. Here are some simple things you can do to help protect your family:1. Get your home tested. Before you buy an older home, ask for a lead

inspection.

2. Get your child tested. Even if your young children seem healthy, ask your doctor to test them for lead.

3. Learn about drinking water. Water pipes in some older homes may contain lead solder where lead may leach out into the water.

For more information about lead poisoning, please call 308-633-2866 x106 or toll free 877-218-2490. Panhandle Public Health District is working together to improve the health, safety and quality of life for all who live, learn, work and play in the Panhandle. Our vision is that we are a healthier and safer Panhandle Community.


I’ve got two subjects I’d like to discuss this month, both of them having to do with vaccinations that can make a huge difference regarding one’s health. The following information is directly from the Centers for Disease Control.

Pneumonia vaccinationsPneumonia is an infection of the lungs, and needlessly

affects millions of people worldwide each year. Pneumonia can often be prevented and can usually be treated. Lower your risk of pneumonia with vaccines and other healthy living practices.

Pneumonia isn’t just a public health issue in developing countries though. Each year in the United States, about 1 million people have to seek care in a hospital due to pneumonia. Unfortunately, about 50,000 people die from the disease each year in the United States. Most of the people affected by pneumonia in the United States are adults.

Vaccines and appropriate treatment (like antibiotics and antivirals) could prevent many of these deaths.

Pneumonia vaccination recommendations for Older AdultsCDC recommends 2 pneumococcal vaccines for adults 65

years or older.

• Get a dose of the pneumococcal conjugate vaccine (PCV13) first. Then get a dose of the pneumococcal polysaccharide vaccine (PPSV23) at least 1 year later.

• If you’ve already received PPSV23, get PCV13 at least 1 year after receipt of the most recent PPSV23 dose.

• If you’ve already received a dose of PCV13 at a younger age, CDC does not recommend another dose.

Shingle vaccinationsAlmost 1 out of every 3 people in the United States will

develop shingles, also known as zoster or herpes zoster, in their lifetime. There are an estimated 1 million cases of shingles each year in this country. Anyone who has recovered from chickenpox may develop shingles; even children can get shingles. However, the risk of shingles increases as you get older.

Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia (PHN), the most common complication from shingles. CDC recommends that healthy adults 50 years and older get two doses of the shingles vaccine called Shingrix (recombinant zoster vaccine), separated by 2 to 6 months, to prevent shingles and the complications from the disease. Your provider can give you Shingrix as a shot in your upper arm.

Shingrix provides strong protection against shingles and PHN. Two doses of Shingrix is more than 90% effective at preventing shingles and PHN. Protection stays above 85% for at least the first four years after you get vaccinated.

If you are an individual who fits the high risk descriptions mentioned above for either pneumonia or shingles, I would strongly suggest you contact your provider to discuss getting vaccinated. Also, don’t forget to get your annual flu shot!


Ph: 308.762.4357 ext. 3152

HAPPENINGSGNMSS

By Joni Sautter, BSN, RN, CRHCPGNMSS Clinic Manager

AT BOX BUTTEGENERAL HOSPITAL

Making a $4,938 Difference for Jane’s ClosetAfter all the tallying for money raised and expenses dispersed, the Making a Difference Motorcycle Poker Run and Silent Auction brought in a hefty $4,938 for Jane’s Closet. At left are the sponsors posing for a photograph of the check presentation held recently: members of the Punishers Midwest Deadhead Punishers motorcycle club, Guardian Bells and Williams Jewelers (plus Jane’s Closet representative Mary Goodell behind the check, and a number of club member’s children). Jane’s Closet provides material and monetary support to help area residents diagnosed with cancer cope with the disease. The monetary support for cancer patients and their families is designed to help them with expenses (e.g. travel and lodging). Box Butte County residents who may know of a family in the midst of coping with cancer can contact Mary Goodell, 308.761.3423. Box Butte General Hospital is an equal opportunity provider and employer.


Praise and PieIt’s time to talk

turkey…and gravy and dressing and sweet potatoes, oh, my! It is also time to remember the true intention of this Thanksgiving holiday—a day to give thanks.

Whether we view it as a cliche’ or a commandment, “Give thanks” is pretty good advice. According to an article published by Harvard Medical School, being grateful not only makes us happier but it can make us healthier as well. Research reported in Psychology Today links gratitude with reduced stress and sadness, better sleep and increased motivation and energy.

I’m for that. So, along with our family tradition of sharing one thing for which we are thankful before we dive into our Thanksgiving feast, I am grateful for these facets of life:

• Family and friends who will be together for this holiday meal. People who share meals tend to be less depressed and may even live longer, say experts.

• Turkey farmers who produce one of America’s leanest protein foods. A 3-ounce slice of turkey breast—besides going well with stuffing and sweet potatoes—provides 26 grams of complete protein (meaning it has all the amino acids we need to build

robust muscles and a strong immune system).

• Experts at the National Turkey Federation website (www.eatturkey.com) and Butterball (www.butterball.com) who offer help on how to roast our holiday turkeys.

• Our military men and women who are away from home and family this holiday so that we can safely enjoy our homes and families this holiday.

• My daughter’s homemade pies that will hopefully encourage me not to eat too much before dessert.

The first Thanksgiving occurred after a grueling winter that claimed the lives of half the Pilgrims who had come to this new land. Those who survived took the time and energy to prepare a harvest meal and give thanks for what they had. On that first Thanksgiving in 1623, Plymouth Governor William Bradford proclaimed:

“Inasmuch as the great Father has given us this year an abundant harvest of corn, wheat, peas, beans, squashes, and garden vegetables, and has made the forests to abound with game and the sea with fish and clams, and inasmuch as he has spared us from pestilence and disease and has granted us freedom to worship God according to the dictates of our own conscience,

“I do proclaim that all ye Pilgrims, with your wives and ye little ones, do gather

at ye meeting house, on ye hill...to listen to ye pastor and render thanksgiving to Almighty God for all His blessings.”

Ah…that we would serve up more praise than pie this week…and remember from Whom all blessings flow. Have a great

Thanksgiving.Barbara Quinn is a registered

dietitian nutritionist at Box Butte General Hospital. She is the author of Quinn-Essential Nutrition: The Uncomplicated Science of Eating. Email her at [email protected]

Quinn-Essential Nutritionby Barbara Quinn, MS, RDN, CDE,Box Butte General Hospital Dietitian

• Deb Wegehoft• Brian Kuhn• Dede DeVeny• Clifford Payne• Ramona Foster• Stephen Van Noy• Audrey Ridenour• Richard Yebra• Kelly Mccauley• James Kayras• Amy Nielson• Leah Delsing

• Heather Conyers• Amber Smith• Megan Meggison• Brooke Vogel Shelmadine• Jerome Dopheide• Kimberly Jespersen• Ashley Johnson• Angela Jones• Madison Smith• Kaleb Hudson

As most know by now, BBGH is doing a Thank You campaign throughout the Thanksgiving holiday month of November. The billboard at 3rd and Cody is just another component of the campaign, featuring a random number of employees spelling out

Thank You to our community family.

TO OUR NOVEMBER EMPLOYEES!

http://www.eatturkey.com

http://www.eatturkey.com

http://www.butterball.com

http://www.butterball.com


PULSE IN PICS NET In House featuring Wellness Center

Video crews and a reporter from NET (Nebraska’s public radio, television news station) were in house Wednesday, October 3 to do focus on The Rehab and & Wellness Center’s state of the art wellness

center. The resulting video was to be aired on NET’s “The Healthy Good Life” series. Crews interviewed Wellness Coordinator Dan Newhoff, CEO Lori Mazanec and a member of the wellness center.

SIM - Nebraska Truck visits BBGH Simulation in Motion-Nebraska (SIM-NE) is a statewide, mobile education system, which brings state-of-the-art, hands-on training, using high fidelity human patient simulators, to pre-hospital and hospital professionals throughout the state. UNMC’s truck was at Box Butte

General Hospital Thursday, October 4, providing two simulations for staff: a woman giving birth, and a man with injuries; using robotic mannikins.

Drug Take Back light in OctoberThe bi-annual United States Drug

Enforcement Administration (DEA) Drug Take Back Day was held Saturday, October

27 in the Medical Arts Plaza from 10am to 2pm. The event usually nets well over

a hundred pounds of prescription and over the counter drugs, as well as several

containers of sharps (needles). That wasn’t the case last month. Only 57.9 pounds of drugs were taken in, and just two sharp containers filled. Still, that is that much more properly disposed of. Helping this

year were BBGH Pharmacists Matt Pinneo, Rachel Nerud and Rebekah Knudson.

At right are Matt, Rachel and Box Butte County Sheriff Office Deputy Preston

Walls as they sort drugs from a couple of bags dropped off by a local resident.


PULSE INPICSKey Club members bring Halloween Treats to BBGH nurses

A group of Alliance High School Key Club members brought 90 bags of Halloween treats to all the nurses of Box Butte General Hospital October 31. At left they are delivering two boxes full of treats to the PCU nurses at the hospital. The club, sponsored by the Alliance Kiwanis Club, has over 60 high school students as members. AHS teacher Roxie Smith leads the Key Club. She and the members put on a number of activities throughout the school year, with their next project a blood drive at the school.

BBGH celebrates Halloween at Trunk or TreatMembers from BBGH Emergency, Special Services and Radiology and Admissions Departments took part in the Trunk or Treat event downtown on Halloween. And we just had to include the photo at bottom right of Anne Stirewalt and her family all

dressed up as the Adams Family for Halloween. Her mother loves to do this ... and it took about two hours of work to get them all look this amazing. Great job!


PULSE IN PICS National PT Month celebrated with Open House

Physical Therapy Month in October was celebrated at BBGH by having an employee open house in The Rehab and Wellness Center Tuesday, October 16th. Staff gave numerous treatment demonstrations,

as well las provided a healthy snack for those attending and a crossword puzzle challenge, with prizes for winners.

Marketing Department presented October Traveling Trophy

The Wound Care Department chose the Marketing Department for the October Pay it Forward Traveling Trophy. The nomination read: “The Marketing Department is composed of unsung heroes who tout our success and remind the community we are here to serve. They always find a warm and intimate way to invite community members to participate in hospital initiatives directed at education, information sharing and celebration of success and achievement. Certainly they put a ‘human face’ to the organization. Our organizational culture is well known to them and they admirably project that culture in every project from conception to completion. In meetings they speak up and bring a fresh perspective to initiatives and recommend the best contacts and approaches to hospital participation in the community. Through photographs and press releases the community is kept current in events and activities ongoing at 2101 Box Butte Ave. Many patients express affection for our

organization and feel fortunate to have the hospital so close when needed. Marketing helps enshrine this reliable identity. They deserve this departmental and individual recognition.”


Kaleb Hudson from IT is ALWAYS so helpful with any IT problem. Kaleb has been caught being awesome every day! Kudos Kaleb!

Monica Febry at the PBX is always so kind and helpful. The copy machine was jammed the other day, and with a smile on her face, she

fixed it. You are awesome Monica!

Marilyn Abbott is caught being awesome every single day! She ALWAYS has a smile on her face and greets every guest with a cheerful hello.

Marilyn, you are awesome!

Mike Stevens has been caught being awesome by his patients. I have seen the interaction Mike has with his patients, and he is amazing! Mike

you are awesome every day!

–Dede DeVeny

Brittany Stull for organizing all three of the annual RHC advisory board meetings!

Lisa Burri for doing her old job, learning her new job and training a new staff member all while trying to implement a new program!

Carla Meng, Meg Craig and Lisa Burri for all of the their focus to help get Clearance going!

Heather Taylor for always helping get patients rescheduled when the surgeons decide to make a last minute change!

Nancy Scherbarth for coming in on her day off every week this month to help us out!

Kristin Ferguson, APRN-BC, Dr. Ott, Sally Bryner, APRN-BC and Brittney Bauer, PA-C for picking up shifts in the ED the month of October!

Amber McElroy, Pam Letcher, Melissa Stricker and Heather Taylor for working together when we needed extra staff and training the new

registration staff!

Kendra Elford for ensuring our Medicare patients are getting their AWV!

Beth Garcia for working a few days in Hyannis!

Kendra Bixby for stepping in and working the extremely busy surgical clinic while Diana was out! – Joni Sautter

A patient’s family come into my office and wanted Jim Bargen recognized for his kindness for helping her spouse in the

parking lot the other day when she had fallen. They stated that “Jim is wonderful and we are highly impressed with Jim and

the hospital.” –Jen Monroe

Yep, Maintenance saved the day!

I’d like to recognize and congratulate Mandy and Meg who successfully completed the NHA Leadership Institute last week. Kudos to them, it’s a very busy 9 months of travel to the eastern

part of the state. Thank you for your commitment. – Lori Mazanec

Whoever decorated Dede’s office, I don’t know who did it and she doesn’t know who did it, but it was awesome.

– Mary Mockerman

Courtney Schnell picked a Fitness Center member’s daughter up from the airport. Awesome service!

– Tim Devlin

Thanks to everyone for getting their time cards in so quickly this week. – Krista Nix

I’d like to recognized Keisha Sanchez, Shirley Devoogd, Vickie Hartley, Chastity Werner& Mindy Pfannenstiel for going

above and beyond on setting up our new warehouse. These girls worked very hard moving pallets and setting up shelving and finally moving and setting up product in that space. Job

well done!!! – Linda Johnson

I would like to acknowledge Liz Jensen for helping as a phlebotomist in the lab during their staffing shortage. Thanks

for your help Liz!!! – Gail Burke

Thanks to Mary and Plant Services who dealt with a challenging situation for hours and hours. – Carolyn Jones.

I’d like to give some kudos Laura Gonzales for helping out while PFS is shorthanded and Liz Jensen for assisting in the Lab.

– Krista Nix

Awesome

I would like to recognize Kelly McCauley, Emily Stull, Meg Craig, Gaylynn Holthus, Stephanie Daniels, Shawna Clarke for their help with the Health Professions Club Float! I could not have done it without them

– Jaci Mach

We got 9 new beds last week and it was seamless because Plant Services, Purchasing, and PCU staff were on top of it. It went really,

really well- like nothing happened. – Jenni Johnson

Thanks to Maintenance, we got new carpet in our suite last week and they helped temporarily ‘evict’ us out of the space, but we were back in our office right on time. I appreciate all their hard work and extra hours

they put in to get us in our ‘new space.’ – Jennifer Dentler

Kim Stuart went out of her way to help a patient. She got a call from a patient asking for assistance and walked all the way across campus to

wheel them to their vehicle, then escorted them outside to the vehicle. – Shae Brennan


Great things are Happening Here!308.762.6660 Alliance, NE www.bbgh.org

BOX BUTTEGENERAL HOSPITAL

NOVEMBER

CALENDAR

SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

Auxiliary Meeting - Noon - 1:00pm - Alliance Room

The reatest placeto receive care,to work,to practice medicine.G

1 2 3

4 5 6 7 8 9 10

11 12 13 14 15 16 17

18 19 20 21 22 23 24

25 26 27 28 29 30 31 BBGH Board of Trustees meeting 6:30pm - Alliance Room

Auxiliary Meeting - 12:00pm-1:00pm - Sandhills Room

Brain and Stroke Support Group - 3:00pm-5:30pm - Alliance Room

Bariatric Surgery Support Group - 6:30pm - 7:30pm - Sandhills Room

Child Birth Education - 7:00pm-8:30pm - Sandhills Room

Health Professions Club - 6:30am-7:45am - Alliance Room



Immunization Clinic - 11:00am - 4:00pm - Medical Arts Plaza Suite 300




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