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VA Medical Center honors outstanding employees of month
AUGUSTA
Mrs. Ellen DeGeorge-Smith,
Director, Augusta VA Medical
Center, is pleased to announce
the March recipients of the Em
ployee of the Month award—Lisa
Sanford, LMSW, Primary Care
Service Line, Downtown Division
and Linda H. Johnson, Executive
Office, Uptown Division. The Au
gusta VA Medical Center recog
nizes two employees each month
for their leadership qualities, con
tribution to the medical center
goalé, customer service skills and
community involvement.
Lisa Sanford is the social
worker for the primary care team
D at the downtown division.
Sanford’s co-workers say her
strengths include her willingness
not only to “listen” but also to
“Hear” what a veteran needs. They
state her contributions to patient
care are immeasurable. She pro
vides exemplary customer service
to veterans and their families by
making sure they are connected
with available community and VA
resources. Stanford is tireless in
her efforts to ensure that she and
the rest of her primary care team
go that “extra mile” to do what is
Students learn to care for children via virtual technology
The Medical College of Georgia
School or Nursing is the first in
the world to own a pediatric pa
tient simulator that will help nurs
ing anesthesia students learn to
care for children.
The simulator, connected to a
computer which monitors the
student’s every action, 1s mod
eled after a 6 year old and will be
used this fall to teach students to
administer anesthesia to young
patients with various complica
tions.
Dr. Fred Lupien, a certified reg
istered nurse anesthetist and co
ordinator of the MCG Nursing
Anesthesia program, said stu
dents entering the nursing anes
thesia program have less experi
ence with critically ill children
than they do with adults.
MCG nursing anesthesia stu
dents will learn hands-on anes
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Linda Johnson
“right” for our patients and their
families. She has the professional
awareness and skill to assess not
only the spoken requests, but to
uncover the unspoken needs that
impact the health of the veteran
Simply put, Sanford makes the
“impossible”™—possible for many
of our veterans. She serves as a
field instructor for Master Social
Worker (MSW) students at the
thesia management of pediatric
patients, as well as management
of uncommon or potentially cata
strophic events in pediatric pa
tients. The gediatric patient simu
lator allows students to treat chil
dren who may have complications
that developduring surgery or who
come tosurgery with complications.
Malignant hyperthermia—a sig
nificant elevation in body tempera
ture whihc is triggered by anes
thetic agents an can be life threat
ening—usually manifests in the
operating room, but can occur
within the first few hours of recov
ery from anesthesia. Bradycar
dia—low blood pressure accompa
nied by a slow heart beat—is a
condition a patient can have prior
to undergoing surgery.
“Anesthesiais such a critical pro
fession and when you're in the ac
tual clinical environment, the pa
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Lisa Sanford
University of Georgia and the
University of South Carolina. As
atransportation volunteer for the
“Brown Bag Program,” Sanford
delivers monthly litems (grocer
-les, toiletries, etc.) to homebound
residents in Warren County, trav
eling many miles from her home
in Columbia County
Linda Johnson is one of the
tient 1s always the first priority,”
said Dr. Lupien. “From an educa
tional perspective, the student
doesn’'t gain any appreciation for
the consequences of what they were
doing (unless they use the simula
tor).”
With the simulator, students are
able to ask “What if?” questions,
said Dr. Lupien, adding that it isin
the lab where students gain a
greater knowledge of consequences
of their actions.
The pediatric patient simulator,
along with an adult patient simu
lator purchased by the school in
1995, will be used by students dur
ing the transitional phase from
their didactic to clinical training.
“We are now using the adult
simulator as a transition from the
student being in the classroom to
being in a clinical situation,” ex
plained Dr. Lupien. “Historically,
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Quality management Technicians
assigned to the Uptown Division.
Johnson greets everyone she en
counters with a smile and a big
hello. She is always ready to lend a
helping hand to co-workers, pa
tients and visitors. Whenever she
encounters someone who looks like
they need assistance, she always
considers how she would like to be
treated in unfamiliar situations.
Johnson cheerfully takes on addi
tional assignments require addi
tional medical reviews that have a
short turnaround time. The major
ity of her focused reviews are con
ducted to determine our prepared
ness for JCAHO and assist differ
ent service lines in where to focus
improvement efforts. Her supervi
sor states that Johnson is a hard
worker and always willing to learn
new aspects of her job. She has
recently taken on the responsibil
ity for producing the Sunday bulle
tin and monthly newsletter for he
Augusta Primitive Baptist Church.
She and her husband, Keith, have
coordinated several majorimprove
ment projects at their church dur
ing the past year. She also serves
as Treasurer for the VAMC Em
ployees Association.
in nurse anesthesia education,
you had all these classes and
then, boom, you had a patient.
Our siudents are experienced
nurses, but thisis something new
and a new level of decision mak
ing and a new level of skills.
What we are finding here is us
ing the simulator in the transi
tional process really helps.”
Both the adult and pediatric
patient simulators can be pro
grammed so that students learn
how to treat patients with vari
ous ailments.
“The public expects anesthesia
providers to be trained to handle
all kinds of cases,” said Dr.
Lupien. “So, the biggest focus of
our simulation program so far
hasbeen making sure they get as
much training in as many types
of cases as possible.”
AUGUSTA FOCUS
U.S. audit: Minorities with
AIDS getting inferior care
compared to whites
By KAREN GULLO
Associated Press Writer
WASHINGTON
Blacks and Hispanics in the
United States who have AIDS are
getting inferior care compared to
U.S. whites with the disease, gov
ernment auditors concluded in an
assessment of how government
funding on AIDS programs was
spent.
“Compared with whites, Afri
can Americans and Hispanics re
ceive less appropriate care for
their HIV disease,” said an audit
released Thursday by the Gen
eral Accounting Office, the inves
tigative arm of Congress
The GAO said that blacks, His
panics and women with AIDS
make up the vast majority of
people served by local AIDS
groups funded by a government
program.
But a congressman who re
quested the audit said that sub
standard care for minorities and
women is a result of the federal
government's emphasis on distrib
uting funds based on the number
of full-blown AIDS cases, instead
of on the number of HIV-infected
people
“The resource dollars are going
in the wrong direction,” said Rep
resentative Tom Coburn of Okla
homa, who released the GAO au
dit of funds administered to state
and local AIDS service groups
through Ryan White Comprehen
sive AIDS Resource Act grants
Coburn said more federal dol
lars should be directed towards
prevention, which accounted for
less than 10 percent of the $lO
billion in federal AIDS spending
MARCH 30, 2000
last year, according to the GAO.
About 300,000 people in the,
United States have AIDS. Hun
dreds of thousands are HIV-in
fected. &
The 10-year-old Ryan Whi‘;
program, named for a boy whose
battle with AIDS attracted na
tional attention, provides mon .
for health clinics treating 1013
income AIDS patients and for
training for those caring for HlV
infected individuals. It has prg
vided nearly dlrs 8 billion in gog *
ernment funds to AIDS p: |
The money goes primarily to :’ -
ies with high concentrations of
AIDS patients and to states. 7
The GAO audit cited a 1999
U.S study of HIV-infected peopls
that showed blacks, Hispanics and™’
women were receiving substan
dard care when compared -~
whites when it comes to doctors™
Visits, emergency room visits) ®
hospitalizations and drug ther!l‘-‘;"
pies w
The findings come as research*”
shows that the AIDS epidemic is'™
hitting minorities and women
hard. Blacks, who make up about".*
13 percent of the U S. populatiof,
accounted for 49 percent of AIDS™
deaths in 1998, according to th# .*
Centers for Disease Controf ™
Thirty-two percent of deaths were "
among whites and 18 percent werd: ¥
among Hispanics. 2y
More than 23 percent of AIDS" 7
diagnoses reported in 1998 wergr
among women .
, Oy
The Department of Health and~¥
Human Services, which adminis
ters the Ryan White Care Act 4
grants, agreed with most aspects
of the GAO report, the audit said.
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