July 2017 Volume LVII, Issue 7

Congratulations to Our Exceptional Non-Nurse Patient Care Staff Recognized in 2016-2017!

Regina Phillips, PCT

Unit H7May 2016

Shantea Jones, PCT

University Women’s ClinicJune 2016

Jerrod Gray, Clinical Technician

Endoscopy July 2016

Lukie Rosales, Scrub Technician

Unit E5August 2016

Aaron Donnor, PCT

Unit E4September 2016

Nicole Herndon, MARahling Road

Neighborhood Clinic October 2016

Sherry Bell, PTAPhysical Therapy

DepartmentNovember 2016

Betty Greenwood, PSA

Unit F8December 2016

Susan Jones, PSAPRI

January 2017

Rosalyn Goston, PSA

Unit F7February 2017

Pamela Handloser, Occupational Therapist

PRIMarch 2017

Ashley Jackson, MA

Orthopedic ClinicApril 2017

The beginning of this year brought with it a change to our monthly award program geared to non-nurse staff. Formerly known as the Most Valuable Partner (MVP) Award, the BEE Award (Being Exceptional Everyday) is recommended by the DAISY Foundation as a compliment to the DAISY Award as a way to recognize exceptional non-nurse patient care staff.

Nominations may be made by patients, families, visitors or UAMS employees who take the time to share a story that

describes the exceptional actions of the patient care staff mem-ber that resulted in a special connection with a patient and/or family member. UAMS employees are asked to submit all nominations for the BEE Award electronically in one of the following ways:

• The Integrity system (located on Clinical Desktop)• http://nurses.uams.edu (via desktop or mobile device)

We encourage you to take the time to recognize your colleagues for the extraordinary and exceptional care and compassion they demonstrate by nominating them for these special awards.

BEING EXCEPTIONAL EVERY DAY

UAMS

Christina Leisenring, BSN

Joe Jimmerson, MNSc, RN, pictured with his wife, Stephanie

Services Education and Libby Stell, UAMS Nurse Recruitment. CONGRATULATIONS TO EACH OF YOU FOR THIS SPECIAL RECOGNITION!

UAMS Nurses Honored Last Month at “40 Under 40” EventThe Arkansas Center for Nursing recently recognized 11 UAMS employees in their list of top 40 nurse leaders under the age of 40. Honorees and their guests gathered for the awards ceremony on Friday, June 23, in the ballroom of the Pleasant Valley Country Club in Little Rock.Nine of the 11 that were recognized are employed by the College of Nursing, while two hold leadership positions within the UAMS hospital.

• JOE JIMMERSON is the Director of Nursing Quality for the ICE Nursing Service Line.

• CHRISTINA LEISENRING is the Clinical Services Manager for the ICE Emergency Department Service Line staff.

Also in attendance at the event were Sue Ragsdale, Director of Inpatient Nursing Care, ICE Nursing

Our patients face many challenges when going through cancer therapy treatment. Not only are they concerned about their disease, but worries about their family, work and finances can be overwhelming.

Many cancer patients are turning to alternative medicine to help cope with and fight their disease. An estimated 40 percent of cancer patients use some type of complementary alternative approach such as aromatherapy, dietary supplementation or massage (Robison et al., 2016).

The option of patients having massage during treat-ment visits in Infusion 1 began after we applied for and received a grant from the Cancer Institute Auxiliary to fund visits by massage therapists. We saw that our pa-tients seemed to enjoy getting the massages, but we were

Massage Therapy Benefits Cancer PatientsBy Kathryn Walton, RN IV, BSN, OCN – Infusion 1

curious about whether massage helped their symp-toms. Research results differ on whether alternative methods like mas-sage actually work, so the Infusion 1 staff and massage therapists launched a collaborative project to measure the benefits of massage therapy for our patients. Our project measured three common side effects of cancer treatment: pain, nausea and distress.   

Massage Therapy Continued Next Page

Massage Therapy Continued from Page 2

Two members of Team UAMS took part in a medical mission trip to Succotz, Belize in Central America from May 27 to June 3.

Marcie Cole, RN - Unit A7 Antepar-tum and Karen Jackson, RN - UAMS Infusion Center, and 16 other medical professionals participated as representatives of the non-profit charitable organization, The Iguana Squad, Inc. The purpose of the organization is to assist the people of Belize with educational and medical needs.

By the time they returned home, nursing volunteers had triaged 1,387 patients and 2,603 medication prescriptions had been filled. Additionally, 500 pairs of sunglasses, assorted readers, and children sunglasses donated by Dr. Shane Ford (Arkansas Eye Care Group)

were distributed, as well as toothbrushes and toothpaste donated by Dr. Steve Pascoe (Tooth Acres – Conway, Arkansas) and Dr. Ronnie Faram of Tahlequah, Oklahoma.

The group also visited King’s Children’s Home and Marla’s House of Hope in Belmopan, Belize,

where they ministered to the physical and spiritual needs of the children who reside there.

The Iguana Squad will be holding their first ever surgical mission trip next month, August 5-13, of which Marcie Cole will be taking part.

For more information about the organization and its missions, please visit www.theiguanasquad.com or contact Marcie Cole at MDCole@uams.edu.

Two UAMS Nurses Take Part in Medical Mission Trip to Belize

Unit A7’s Marcie Cole, RN shares a smile with a Belizean child.

Karen Jackson an RN in the UAMS Infusion Center worked closely with translators as she triaged patients.

One of our early decisions was how to measure pain, nausea and distress. We adapted a drawing of a simple thermometer similar to the old-fashioned glass thermometers for taking patient temperature or for measuring intensity of weather from cold to hot. Just to be sure it would work for our patients, we had it reviewed by members of the UAMS Patient Advisory Council and then made changes they suggested.

We asked patients receiving cancer treatment whether they wanted a massage. Patients who wanted massage used the thermometer drawings to rate their pain, nausea and distress before the massage began. After the massage

ended, they used another page of the thermometer drawings to rate their pain, nausea and distress. Patients who reported pain, nausea and/or distress before the massage reported those symptoms had improved after massage.

The findings were not surprising to our staff who welcome the massage therapists working with patients. “Our patients are happy to see the massage therapists walk through the door,” said Cassie Mock, RN. “A massage helps them relax and deal with their stress.”

This Infusion 1 project shows benefits of massage therapy and helps shine a light on other therapies patients use to fight their cancer.

All work and no play is no way for a workforce to operate. On June 3, the Medical Specialties Service Line (MSSL) incorporated playtime into our schedule by gathering for our first-ever service line picnic. The picnic was planned and executed by our very own MSSL unit-based council, which had worked diligently for months on putting together the event. Held at Murray Park, it was the perfect day for food, fun, and fellowship.

In the midst of all the fun, the MSSL staff also completed a service project. The staff eagerly participated in the Share Your Lunch Food Drive. Share Your Lunch is a program created and operated by The First Assembly of God Church in North Little Rock. It helps to feed hungry children in Central Arkansas. On the day of the picnic, each staff member brought canned goods and non-perishable items to donate to this good cause.

The picnic was a great opportunity for all of our staff members to engage in activities together other than work. The goal was to create memories, build camaraderie and trust, and to simply enjoy a relaxing environment. We were able to do all of these things and more. It was a joy to not only be a part of the picnic but to share memories with such a great team.

Work Together. Play Together. Give Together...By Sharday Parker, BSN, RN, CRRN, CDE – CSM, Medical Specialties

MSSL staff members donated a large amount of food to the Share Your Lunch program at last month’s picnic!

The DAISY Award July 2017 Sarah Doss, RN –

Float Pool

Congratulations to Sarah Doss, RN for being selected as the DAISY Award recipient for the month of July!

Sarah is a nurse in the Float Pool. She was nominated for the award by a patient’s daughter and granddaugh-ter. The nomination below describes how Sarah made a lasting impact on a patient and their family’s lives.

“I live in Virginia and my mother was recently admitted to the University of Arkansas for Medical Sciences from the nursing home – for pneumonia. She was on F8. Living in another state makes it very difficult to care for loved ones. I made a few attempts to speak with my mother with no success. I finally called and spoke with her nurse, Sarah Doss. She stated my mother had not been very alert and that she would only say a word or two at a time. I told her this was not my mother’s baseline and that I was concerned. Sarah told me she would speak to the physicians and get back with me. A few hours later, an unknown number came across my caller ID. When I answered the phone, my mother was on the other end! It was such a fresh breath of air hearing her voice. Sarah even allowed my daughter and me

to make a video phone call so we could see her. What makes this even more special is my daughter had a

baby six months ago and my mother has not been able to meet her. She was able to see the baby for the first time and talk to her. This is a memory we will never forget. Even more, I sent a few pictures of the baby to her phone. She went out of her way to print the pictures off, put them in picture frames, and give them to my mother. It’s hard to describe how much her generosity means to my family and me. We appreciate her and everyone at UAMS for taking such good care of my mother! Thank you! Thank you! Thank You!”

Great job, Sarah!

To learn more about The DAISY Award or to nominate a deserving licensed nurse, please visit: http://nurses.uams.edu/DAISY-Award.

Sarah Doss, RNFloat Pool

Please join the Center for Nursing Excellence in congratulating Lesley Halley for being selected as the July BEE Award winner!

Lesley is a Medical Assistant in Medical Specialties and was nominated by a patient. The following is the story of how Lesley impacted a patient’s life in a way that they will never forget:

“I am older and ride a scooter. I am usually in pain after loading my scooter and getting across campus. I was worn out when I arrived at the clinic. A delightful lady with a lot of expression and super sense of humor was waiting with the door open and welcomed me. She did my first eval before I saw the very pleasant Dr. R. Chuck. Lesley was a hoot and made my routine check-in fun! We had a couple

of great laughs about being older, etc. – so refreshing and unique. Now y’all keep this lady. If I had a business, I would hire her away from you.”

Please congratulate Lesley for Being Exceptional Every day at UAMS!

The BEE Award honors non-nurse staff who provide exceptional care for patients and family. To nominate a deserving patient care staff member, please visit: http://nurses.uams.edu/BEE-Award.

BEING EXCEPTIONAL EVERY DAY

UAMS

Lesley Halley, Medical Assistant

Medical Specialties, Internal Medicine South

The BEE Award July 2017 Lesley Halley, Medical Assistant

Medical Specialties, Internal Medicine South

Articles for the August 2017 issue of the Capsule are due by 5 p.m. on Friday, July 28.

Please e-mail them to: JGRunkle@uams.edu

Articles received after that date will be included in the September 2017 issue.

DEADLINE!Crash Cart and

Code Blue EducationUpcoming 2017 Training Sessions

• Thursday, August 3: 1 to 2 p.m. • 2 to 3 p.m. • 3 to 4 p.m. Location: F6009

• Tuesday, September 12: 9 to 10 a.m. • 10 to 11 a.m. • 11 a.m. to 12 p.m. Location: F8009

• Tuesday, October 24: 1 to 2 p.m. • 2 to 3 p.m. • 3 to 4 p.m. Location: F8009

- SIGN UP IN MY COMPASS -FOR ADDITIONAL INFORMATION, PLEASE CONTACT:

Julie Stephens, BSN, RN – JPStephens@uams.edu orMichelle Peters, BSN, RN, CCRN – MLPeters@uams.edu

CATEGORY RANK DATA*

Patient Satisfaction 21/27 focus questions outperformednational average*

Catheter-Associated Urinary Tract Infection (CAUTI) More than 173 days since last CAUTI

Falls with Injury 149 days since last fall with injuryCentral Line-Associated Blood Stream Infection (CLABSI)

More than 180 days since last CLABSI

Hospital-Acquired Pressure Injury (HAPI) Stage II and Above

60 days since last HAPI Stage II and Above

*Patient Satisfaction Data Used to Determine Winner Collected: July 1, 2016 to May 31, 2017

Based on the clinical indicators noted below, Unit F9 – ENT/Orthopedic

Surgical Specialties was recognized with the Outstanding Area of the Month Award for the month of June!

Here is a comment made by an F9 patient:

• Everyone was very accommodating and always treated me and my wife with the utmost respect. The nurses and techs were very attentive. Never had to ask for anything twice!”

CONGRATULATIONS to Area of the Month runners up: Unit E4

and Unit H8!

Area of the Month - June 2017

WAY TO GO, Unit F9!

Protecting patient information is a top priority for UAMS. Here are a few tips on how you can protect patient information:

• Whenever possible, use private areas to discuss patient information.

• If you must discuss patient information in a public area, lower the volume of your voice.

• If you overhear a conversation concerning a patient, keep that information to yourself.

Tips for Protecting Patient Information

• When papers containing patient information are no longer needed, either shred them or place them into a secure confidential shredding bin. Do not dispose of paper PHI in a regular trash can.

Infection Prevention Update

Included on the long list of “Things You Hope You Don’t See Often at UAMS” are patients with active tuberculosis (TB). We do not have many patients with TB, but it is a disease we all need to learn about. It’s important that we’re aware of and understand the precautions employees

Understanding Tuberculosis Precautions Important for Employees and VisitorsBy Connie Cavenaugh, RN, BSN, CIC – Infection Prevention

and visitors need to take to protect themselves against infection with TB. TB is a major cause of disability and death in many parts of the world. Most Americans who contract TB have access to adequate treatment and are able to survive its affects. Unfortunately, this is not the case for many people in underdeveloped countries.When we think of TB, we usually think of the pulmonary variety. Extrapulmonary TB is much less common than pulmonary. It may affect any organ or tissue and includes tuberculous meningitis, acute hematogenous TB, and involvement of lymph nodes, pericardium, kidneys, bones and joints, larynx, skin, intestines, peritoneum and even the eyes. I once saw a patient with TB of the uterus! Her infection had started in the lungs, was left untreated, and had spread to other parts of the body.One of the primary differences in caring for patients with extrapulmonary TB compared to patients with pulmonary involvement are the precautions we need to take to prevent spread of the disease. For patients with pulmonary disease, we have to wear masks when direct patient contact is involved. Caring for patients with extrapulmonary TB usually does not require a mask because the TB bacilli are not airborne. All pulmonary TB patients must be in negative-pressure rooms.Patient education is important for any patient with TB – pulmonary or other sites. Patients and their families will probably be living with the disease and its affect on their lives for months or years. They need to understand the disease process and any precautions necessary to protect other household members. It is important for them to have adequate follow-up to provide for uninterrupted treatment of their disease after they leave us.There’s one other little TB fact worth noting. Next time you go to Mexico on vacation, don’t drink any raw milk. They still have a problem with bovine TB! If a cow has bovine TB, it can be transmitted through the milk. You can’t be too careful these days. Remember to wash your hands and stay healthy!

CAP: Connecting Across Professions is a multidis-ciplinary teleconference focusing on chronic disease, healthcare trends, professional development, and interprofessional collaboration. All disciplines are welcome and encouraged to attend.

CAP IS OFFERED ON TUESDAYS AND WEDNESDAYS, AND CE CREDITS ARE AVAILABLE!TUESDAY CAP Teleconferences are held from Noon to 1 p.m. in Shorey, 5th floor, Room 5/25. Upcoming topics include:July 25 – Professional Development: A How to Guide for

Opening a ClinicAug. 1 – Surgery for Thyroid DiseasesAug. 8 – Tremor UpdateAug. 15 – Trauma/ER Tuesday: Hip and Knee

Periprosthetic Fractures

WEDNESDAY CAP Teleconferences are held from 12:15 to 1:15 p.m. in EDII, Room B107. Upcoming topics will be:July 19 – Out of Sight, Out of Mind: The Increasing

Importance of Sterile Processing to Patient Safety Aug. 2 – LEGOS: IPE Collaborative Impact on Patient

Safety & Quality of Care Aug. 9 – ADH Healthcare-Associated Infections (HAI)

Lecture Series

Additional information (including speaker names) available at LearnOnDemand.org. To be added to the email list, text: cdheducation to 22828.

CAP: Connecting Across Professions

All PCTs, PSAs, PSCs, MAs, and CCAs should make plans to attend in order

to renew annual competencies.

WE’RE LOOKING FORWARD TO SEEING YOU THERE!

LOCATION: ED II Building – Check-In Near Classroom G137

7/17

THURS., AUGUST 1010:00 a.m. to 2:00 p.m.

(Last Check-In: 1:00 p.m.)

FRI., AUGUST 11 7:00 to 11:00 a.m.(Last Check-In: 10:00 a.m.)

UAP APPRECIATION — CAKE & KUDOS!

Unlicensed Assistive PersonnelSkills Competency Marathon

12:30 to 2:00 p.m. (August 10)

8:00 to 10:00 a.m. (August 11)

On-DemandPatient Education Videos

CANCERENG VIDEO NAME SPAN192 Understanding Radiation Therapy N/A

215 Facing Multiple Myeloma Together (For the Caregiver) N/A

230 Living with MDS (Myelodysplastic Syndrome) N/A232 Living with Multiple Myeloma 231290 After Your Mastectomy N/A303 A Patient’s Guide to Radiation Therapy N/A380 A Patient’s Guide to Multiple Myeloma N/A391 Words of Experience: Stories of Hope 392

393 Insights: Experiencing Transplant as a Young Adult 394

395 Understanding Chemotherapy N/A

CARDIOLOGYENG VIDEO NAME SPAN 599 What Is A Heart Attack? 654 600 After a Heart Attack: At Discharge 655 605 Taking Cholesterol Medications 660383 What is Heart Failure? N/A 602 Understanding Heart Failure Medications 657 603 Taking Your Heart Failure Medications 658

601 Heart Failure: Monitoring for Signs and Symptoms 656

604 Heart Failure: Limiting Sodium 659 597 Treating Atrial Fibrillation 652 596 Understanding Atrial Fibrillation 651

CARDIOLOGY, continuedENG VIDEO NAME SPAN598 Living with Atrial Fibrillation 653385 Coronary Angiography and Angioplasty 166220 High Blood Pressure Compliance N/A160 Anticoagulation Medication: Taking it Safely 161

CATHETERS AND DRAINSENG VIDEO NAME SPAN 640 Urinary Catheter: How to Prevent Infection 683 638 How to Empty Your Surgical Drain 681 639 Surgical Drain: When to Call Your Doctor 682

292 Intermittent Self-Catheterization – Adult Female 332

329 Intermittent Self-Catheterization – Adult Male 331302 Tracheostomy Home Care 353413 Aspira Drainage System 412

CENTRAL VENOUS LINESENG VIDEO NAME SPAN

636 What is a Peripherally Inserted Central Catheter (PICC)? 679

397 Caring for Your PICC N/A401 PICC Care (Statlock) 378 637 Living with Your Implanted Access Port 680

DIABETESENG VIDEO NAME SPAN121 Diabetes and Nutrition: Eating for Health 106

110 Diabetes and Weight Control: Changes for a Lifetime 109

209 Understanding Insulin 115 644 Taking Insulin 687128 What is Diabetes: Type 2 129132 Basics for Controlling Diabetes 133135 Gestational Diabetes 134136 Pre-Diabetes: It’s Time to Make Changes 137198 A Guide to Taking Lantus N/A226 Humalog Kwikpen N/A403 Being Prepared for Sick Days and Emergencies 404 643 Non-insulin Diabetes Meds 686 645 Diabetes Skin and Foot Care: A Million Steps 688

1. Dial 526-4766 from your hospital phone.

2. You will be asked: Press 1 if you speak English or Press 2 if you speak Spanish

3. Follow the prompts given to you through the phone system. The codes for the videos are listed below for English and Spanish.

Video numbers with N/A = “Not Available”

How to View A Video:

NEUROLOGY, Continued on Next Page

DIALYSISENG VIDEO NAME SPAN233 Living Well on Peritoneal Dialysis 234410 Hemodialysis N/A

GENERALENG VIDEO NAME SPAN286 Welcome to UAMS 285155 Advance Directives: Taking Control 154189 Hand Hygiene Saves Lives N/A193 The Amazing Gift (Organ Donation) N/A415 Home Tube Feeding N/A138 Ostomy Care N/A

MEDICATIONSENG VIDEO NAME SPAN 611 Ultram 666 615 Norco N/A 616 Dilaudid N/A 613 Dilantin 668 614 Keppra 669 609 Advair 664 610 Singulair 665 612 Montelukast 667 606 Lopressor 661 607 Toprol XL 662 608 Norvasc 663161 Anticoaculation Medication: Taking it Safely 160190 Lovenox 238 400 Warfarin (Coumadin) 379 605 Taking Your Cholesterol Medications 660 603 Taking Your Heart Failure Medications 658

MOTHER/BABYENG VIDEO NAME SPAN195 Don’t Risk Your Child’s Life: Car Seats 259217 Parenting in the NICU 235219 Nutrition Safety for Moms to Be 218243 Ark Children’s Hospital NICU Admission N/A255 Preventing Infant Abduction N/A260 RSV and Your Baby N/A262 Safe Sleep for Baby N/A263 Skin-to-Skin Care N/A288 When Baby Comes Early: A Gude to Prematurity 264266 How to Use a Breastpump 265

MOTHER/BABY, continuedENG VIDEO NAME SPAN312 Labor Preparation Exercises N/A333 Crying, Soothing and Coping 335334 The Period of Purple Crying 336338 Contraceptive Choices 339340 14 Steps to Better Breastfeeding 341358 Safety and Your Late Pre-Term Infant N/A

359 Temperature Regulation and Skin-to-Skin Contact N/A

360 Making Enough Milk: Hand Expression 365361 Making Enough Milk: Early Breastfeeding 363362 Making Enough Milk: Hands on Pumping 364408 Following Baby Back Home N/A

623 Postpartum Care: Changes in Your Body after Delivery N/A

624 Postpartum Care: Your Follow Up Appointment N/A625 Newborn Care: Common Health Concerns N/A627 Helpful Strategies for Successful Breatfeeding N/A628 Breastfeeding Your Newborn N/A354 Appearance and Characteristics of Newborn N/A355 Caring for Your Late Pre-Term Infant N/A356 Developmental Milestones N/A357 Feeding Your Late Pre-Term Infant N/A

NEUROLOGYENG VIDEO NAME SPAN 617 What is a Hemorrhagic Stroke? 670 618 What is an Ischemic Stroke? 671 619 What is a TIA? 672173 Stroke: Brain Attack N/A 176 After a Stroke 177 622 Stroke: The Importance of Taking Medications 675 620 Stroke: Common Effects of Right Brain Injury 673 621 Stroke: Common Effect of Left Brain Injury 674165 Pathways: Moving Beyond Stroke and Aphasia N/A344 Introduction to Spinal Cord Injury N/A345 Understanding the Spinal Cord N/A346 Spinal Cord Injury, Causes and Effects N/A

347 Spinal Cord Surgery, Devices, Complications and Prevention N/A

348 Spinal Cord Levels of Injury Part 1 N/A349 Spinal Cord Levels of Injury Part 2 N/A350 Spinal Cord Levels of Injury Part 3 N/A351 Spinal Cord Levels of Injury Part 4 N/A

TIGR Program Guide — Page 2 of 3

Revised 6/17

NEUROLOGY, continuedENG VIDEO NAME SPAN343 Exercises for Patients with Spinal Cord Injury N/A352 Coping with a Spinal Cord Injury N/A

ORGAN TRANSPLANTENG VIDEO NAME SPAN229 A Gift for Life: Living Kidney Donation N/A268 The African American Perspective in Transplant N/A269 The Basis of Transplant Success N/A270 The Prograf Choice N/A274 The Healthy Heart Perspective in Transplant N/A284 Voices of Experience N/A248 Options for Living with Kidney Failure N/A

ORTHOPEDICSENG VIDEO NAME SPAN629 Joint Replacement: The Role of Your Coach 676

630 Getting the Most Out of Your Joint Replacement Surgery 677

PAINENG VIDEO NAME SPAN242 Neurostimulation Therapy N/A267 Taking Control of Your Pain N/A384 Pain Management: It’s Your Right N/A

PATIENT SAFETYENG VIDEO NAME SPAN

158 Patient Safety: Staying Safe While You are in the Hospital 159

641 Safety: Speak Up While in the Hospital 684253 Patient Safety and Medication N/A 402 Fall Prevention in the Hospital 407 590 Preventing Falls at Home 646193 The Amazing Gift (Organ Donation) N/A337 Pressure Ulcer Prevention N/A 594 Preventing Pressure Ulcers in the Hospital 649 592 Infection Prevention: MRSA 647321 Prevent the Spread of Infection 322 642 General Hospital Safety 685315 Speak Up at the Doctor’s Office 216319 Prevent Errors in Your Care 320 593 Preventing DVT in the Hospital 648

RESPIRATORYENG VIDEO NAME SPAN 632 What is COPD N/A 633 COPD: Tips for Staying Healthy N/A182 Managing COPD 183185 COPD: Take Control 186

634 COPD: Using Your Metered Dose Inhaler and Spacer N/A

635 COPD: Using Your Dry Powder Inhaler N/A199 Active Cycle Breathing Techniques N/A184 Pneumonia: Recovery and Prevention N/A 631 Pneumonia: Preventing Re-infection 678

258 Pulmozyme Complete Guide for CF Patients and Caregivers N/A

302 Tracheostomy Home Care 353

SMOKING CESSATIONENG VIDEO NAME SPAN389 Smoking: Your Plan to Quit 390

595 Quitting Smoking: Products that can Help with Withdrawal 650

TIGR Program Guide — Page 3 of 3