Hand-washing tips from the experts

<p>Dr. Cole Beeler of IU Health’s Infectious Disease team says studies show that many people still aren’t washing their hands thoroughly enough. It’s an important part of preventing the spread of COVID-19 and staying healthy year-round. Dr. Beeler offers his tips here.<br></p>
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Her career spans more than three decades, training more than 100 new nurses

<p><strong><em>She’s been called “a calming force,” and “an excellent teacher.” Joan Yager has dedicated more than three decades to nursing at IU Health.</em></strong></p>
<p><em>By IU Health Senior Journalist, T.J. Banes, </em><a href=”mailto:tfender1@iuhealth.org”><em>tfender1@iuhealth.org</em></a></p>
<p>There’s a saying around the Medical Progressive Care Unit at IU Health University Hospital, “Do it for Joan.”</p>
<p>Team members not only admire Joan Yager but also strive to emulate her. Her peers recently recognized her for 35 years of service to IU Health. The truth is, Yager started her career at Methodist Hospital but thought the hospital was too big so she left for three months and then returned. </p>
<p>“I went to a smaller hospital and didn’t think I’d be challenged enough so I came back to IU Health,” said Yager, who has spent the majority of her career working at the bedside of patients in the Medical Progressive Care Unit. She’s also served as a preceptor for more than 100 new nurses. </p>
<p>Monica Wilhelm was one of those new nurses. Yager took her under her wing for Wilhelm’s senior year capstone and then on-boarded her at IU Health. </p>
<p>“Everyone says she’s intimidating because she’s so thorough, but really she puts her heart into everything. I wouldn’t be the nurse I am now without her guidance,” said Wilhelm, who now helps acclimate new nurses joining IU Health. </p>
<p>A native of Southern Rush County, Yager grew up on a farm where her family raised hogs and harvested corn and soybean crops. She was the eldest of 10 children born to Francis and Kathleen Yager. The eldest and youngest siblings are separated by 21 years. </p>
<figure><img src=”{asset:394933:url}” data-image=”394933″></figure>
<p>“We grew up doing a lot of gardening, canning, freezing, and grinding your own hamburger,” said Yager, a graduate of the University of Evansville. “My friends used to tease me in college because I ate fast. With ten kids we didn’t fix much and by the time it went around the table you might not get your fill.” Her role in the family hierarchy also meant that she and her younger sister helped with the cooking and cleaning. </p>
<p>“We were just a hardworking family. I admired that in my parents,” said Yager. Later in life her mother also became a nurse. </p>
<p>“She always encouraged me to go into nursing. I think because she wanted to become a nurse one day and she also saw me in that oldest sibling role where I was nurturing,” said Yager. In college she attended the University of Evansville’s study abroad center, Harlaxton College in Lincolnshire, England and worked in an OB unit at a nearby hospital. She spent part of her senior year of college working for the National Institutes of Health in Washington, D.C. on a project involving insulin pumps. Yager started her nursing career working in a 49-bed diabetic unit at Methodist Hospital. When she moved to University Hospital she worked in the medical unit primarily caring for renal patients. She then joined a medical-surgery resource pool working in various areas including OB, psychiatric care, and hematology-oncology. Eventually she saw IU Health separate the progressive care unit into medical progressive care and surgical care. She remained part of the medical progressive care team. </p>
<p>“I love my team and I have worked with some great physicians over the years,” said Yager. In addition to being a preceptor and clinical instructor, Yager is certified in critical care and progressive care, and has been nominated for a Daisy Award, recognizing extraordinary nurses. </p>
<p>Her peers have said, “She’s one of the best preceptors ever,” “If you want to hang with Joan you better wear running shoes. She’s always on the go,” and “When there’s a code, she is calm and cool because she knows it sets the tone.” One co-worker called her a “Nursing Jedi Master.” </p>
<p>Her supervisor Frank Anderson describes Yager as humble. “She doesn’t realize the inspiration she has on everyone – not just nurses but our staff. She leaves a memorable impression on everyone. She’s passionate about what she does and how she does it. She’ll do anything for anyone.” </p>
<p>Yager trains nurses the way she would want to be trained – focusing on critical thinking and organization. </p>
<p>“I try not to overwhelm them,” said Yager. “On the first day they just follow me and then on the second day they learn by doing. I’ll give them one patient and then I quiz them over that patient, asking questions like ‘what are the three biggest problems you’re watching for and accessing?’ Then I will have them show me their organization sheet and help coach them through what we will talk to the doctor about.” She also learns from new hires. </p>
<p>“They’ve taught me things about the most recent research-based practices and I think that’s important because as a nurse you should constantly be learning,” said Yager, who recently became certified in chemotherapy/immunotherapy.</p>
<p>She also encourages other nurses to care for themselves. </p>
<p>“Because our patients are so sick I get to work with so many people in so many departments – speech, physical therapy, radiology, dietary,” said Yager. “Also because our patients are so sick, there can be days that are tough. I tell them ‘you will have codes, you will have patients die, you have to lean on each other and find ways to handle stress.’” </p>
<figure><img src=”{asset:394937:url}” data-image=”394937″></figure><p>When she’s away from the hospital, Yager enjoys photographing her nieces’ and nephews’ sports activities, and traveling. She has driven to Alaska twice, traveled to Canada, Washington, California, and Oregon. She’s in the process of planning a trip to the Grand Canyon. </p>
<p>So what’s next for her nursing career? </p>
<p>“I see myself celebrating 40 years. I love the patients and my team and I want to keep at it.” </p>

IU Health Virtual Clinic offers free Coronavirus screening

IU Health has launched a virtual clinic to offer individuals in Indiana regardless of age free Coronavirus (COVID-19) screenings using the IU Health Virtual Visit app. Staffed 24/7 with IU Health physicians, advance practice providers and registered nurses, the clinic will screen patients from home, potentially eliminating the need to visit physician offices, urgent cares or emergency departments.

The team will recommend and facilitate appropriate pathways for care, and provide direct access and communication with local hospitals as medically appropriate.

How can you access the hub?

  1. Download the free IU Health Virtual Visits app (Google Play or iTunes) or enroll on your computer.
  2. Enroll by creating a free login and completing your personal profile.
  3. Connect with the virtual hub, select “Coronavirus Screen” and find the appropriate pathway for care.

Be sure to allow access to your camera and microphone if you are using the app. If you are connecting via desktop, be sure to test your computer settings.

Showing compassion is the easy part, says RN Heidi Jordan

The team at IU Health White Memorial wanted to thank Heidi Jordon, RN, BSN, oncology for her compassionate care, team work and delivering on our promise to provide the best care, designed for each patient. That thank you was delivered by president and CEO of IU Health Dennis Murphy.

I wanted to thank you for the compassion and purpose you display for every patient who walks through our door. A cancer diagnosis is not an easy pill to swallow yet patients tell us that you are that ray of sunshine that brightens their day. You care, you listen and you become a part of the family.

Your fellow team members love that you invite them to gather and celebrate that final chemo treatment with a certificate of completion and a little celebration for the patient and family members. I understand there are usually plenty of hugs and tears to share.

Thank you for following your purpose, providing compassionate care and involving the team in celebration.

What unfolds is a great message on providing compassionate care every day.

She’s fighting colon cancer with her tribe

<p><em><strong>Terry Moore can’t do it alone. She realizes that and is surrounded by a group of friends – each one has a role in her healing.</strong></em><br></p>
<p><em>By IU Health Senior Journalist T.J. Banes, </em><a href=”mailto:tfender1@iuhealth.org”><em>tfender1@iuhealth.org</em></a></p>
<p>There’s the “record keeper,” the “problem solver,” the “researcher,” and the “comedian.” Each one plays a vital role in Terry Moore’s cancer diagnosis and treatment. </p>
<p>These women have been friends for decades – they’ve stood up at weddings and stood on the sidelines of their kids’ sporting events. They aren’t about to let Moore stand on her own now. </p>
<p>“Terry reached out to us in the beginning. She’s very good about allowing us to provide support. She knows by excluding us from treatment it would hurt us,” said Susan Sjoquist.</p>
<p>On a recent weekday at IU Health Simon Cancer Center other patients were quietly reading a book, watching TV, or drifting in and out of sleep. Moore’s pod was filled with chatter and laughter. </p>
<p>“They have gone through this entire thing with me – taking notes, asking questions, and researching treatments,” said Moore. “We even offered to take a turn at chemo and offered to give her a stool sample,” adds Sjoquist. She’s the comedian. When things get tough, they all get serious but every now and then, they all need a good laugh. </p>
<p>Sjoquist wears a mask on this day. She’s fighting the sniffles. She and her husband just returned from a Caribbean get-away with Moore and her husband of 25 years Dean Estes. The couple has two boys Aaron, 24 and Adam, 21.</p>
<p>“We’re such good friends I even shared my Caribbean cold with her,” Sjoquist jokes. Rounding out the troop is Katie Kumler, Karen Cox, and Pam Haring. Kumler and Cox met Moore through work at Eli Lilly, where Moore is a research scientist. Haring and Sjoquist met Moore through their kids’ sports. </p>
<p>These women would do just about anything they could for their friend.</p>
<p>It was in the fall of 2014 when Moore was first diagnosed with colon cancer. “I was on Humira for arthritis and my rheumatologist realized I was anemic. He said I was bleeding somewhere,” said Moore. She had just turned 50. A colonoscopy showed she had colon cancer. </p>
<p>She sent a group text to her friends that she didn’t quite complete. What they saw were the words: “I have colon ca . . . . “ </p>
<p>“It was like she went radio silent,” said Kumler. “She totally left us hanging,” added Sjoquist. The group text messages became more and more routine as Moore began including her friends in her treatment plan. </p>
<p>March is Colorectal Cancer Awareness Month – a time to educate others about the signs and treatment of colon cancer. The American Cancer Society recommends that people at average risk of colorectal cancer start regular screenings at age 45. Those who are considered at <em>average</em> risk do not have a personal or family history of colorectal cancer or polyps, a history of inflammatory bowel disease, a confirmed or suspected hereditary colorectal cancer syndrome, a personal history of getting radiation to the abdomen or pelvic area to treat a prior cancer. It is recommended people with increased risks begin screening before the age of 45.</p>
<p>“It wasn’t such a shock because cancer runs in my family,” said Moore. Her dad died of complications from lung cancer and had also been diagnosed with renal cancer. Her younger brother died of complications from lung cancer, and her stepmother died of complications from colon cancer. “I kind of always thought it wouldn’t be ‘if” I got it but when’ I got it,” said Moore. </p>
<p>Within a week of her diagnosis she was schedule for a colorectal resection. Lab work followed showing five out of nine lymph nodes were positive for cancer. She had Stage 3 colon cancer. </p>
<p>“I wanted to be at a teaching hospital so I chose IU Health,” said Moore. She is in the care of oncologist <a href=”https://iuhealth.org/find-providers/provider/paul-r-helft-md-6662″>Dr. Paul Helft</a>.</p>
<figure><img src=”{asset:390717:url}” data-image=”390717″></figure><p>After the first chemotherapy, Moore had a period of about 18 months where no cancer was detected. She finished the chemotherapy in the spring of 2015 and in August 2016 the cancer returned. She had radiation and when scans showed continued growth she went back on chemotherapy. </p>
<p>A native of Central Illinois, Moore graduated with a microbiology degree from the University of Illinois. She worked for a time at the University of North Carolina and moved to Indiana 20 years ago to work at Eli Lilly. With a strong science background, gene sequencing was important to her. She worked with the precision genomics team at IU Health and discovered she was a candidate for a drug trial. </p>
<p>It was on the first day of her new treatment that she was surrounded by her friends at IU Health Simon Cancer Center. </p>
<p>Together the women defined the roles of each member of the tribe. </p>
<p>“Karen is the problem solver and a servant; Katie is a researcher who bulldozes through information and digs through information to learn more about drug trials; Pam is a nurse so she keeps track of medicines and side effects and tends to the business at hand – like if Moore is getting proper nutrition, sleep and self care. Susan fills in the gaps – keeping them all cheerful and making sure Moore is emotionally strong,” the women collectively joined in. </p>
<p>“It works for me because they know what I need,” said Moore. “Someone is always with me. I never go it alone.” </p>