february 2015 examiner

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T HE E XAMINER Volume 23, No. 2 February 2015 Commanding Officer Naval Hospital Public Affairs Office Box 788250 MAGTFTC Twentynine Palms, CA 92278-8250 Did you know?... Robert E. Bush Naval Hospital “Serving with Pride and Professionalism since 1993” Y ou have the right to express your concerns about patient safety and quality of care. There are several avenues open to you: * Through the ICE website. * The Hospital Customer Relations Officer at 760-830- 2475, or any of the Customer Relations representatives in the Hospital clinics, or directly to the Joint Commission via: E-mail at [email protected] Fax: 630-792-5636 The Joint Commission Oak Renaissance Boulevard Oakbrook Terrace, IL 60181 T o report Fraud, Waste and Abuse contact one of the below offices by calling: Naval Hospital: 760-830-2344 Combat Center: 760-830-7749 NavMedWest: 1-877-479-3832 Medical IG: 1-800-637-6175 DoD IG: 1-800-424-9098 http://www.med.navy.mil/sites/nhtp/pages/default.aspx An Award Winning Publication Patients seen in December -- 9,298 Appointment No Shows in December -- 896 In December we had an 8.8 percent no-show rate. We need to keep trending downward by keeping the appointments we make, or by canceling in enough time for someone else to use the slot... To help patients obtain appointments, the Naval Hospital now shows the number of open appointment slots each day on the hospital Facebook site, check it out. On Facebook, search: Naval Hospital Twentynine Palms. To make an appointment call -- 760-830-2752 To cancel an appointment call -- 760-830-2369 Measles Outbreak Puts the Unvaccinated at Risk California State health officials have announced a measles out- break that originated in southern California. As of January 21, 2015, a total of 59 cases have been confirmed. San Bernardino County current- ly has two confirmed measles cases. Naval Hospital Twentynine Palms (NHTP) Public Health is working with the county and base medical facilities to increase awareness of measles. Symptoms of measles include high fever, cough, and a red skin rash. Measles is highly contagious and can travel to others through coughing and sneezing. It is so contagious that if one person has it, 90% of the people close to that person who are not immune will also become infected. Infected peo- ple can spread measles to others from four days before to four days after the rash appears. The best way to prevent measles is vaccination with the Measles, Mumps, and Rubella (MMR) vaccine. Since children under 5 years old are at greatest risk for infection and complica- tions, vaccination among chil- dren is critical. Ask your provider if your child is up to date with an MMR vaccine. NHTP invites beneficiaries over one year of age to come and get an MMR vaccine if you or your children have not previously been vaccinated. To learn more about measles, visit http://www.cdc.gov/measles/vac cination.html. Treatment for measles consists of reducing patient symptoms and an MMR vaccine if indicat- ed by a provider. Contact your primary care team if you or your child develops rash and fever. 24-hour nurse advice is avail- able via the Tricare Nurse Advice Line, 1-800-Tricare (874-2273). If you need to speak to your provider, call the NHTP appointment line at 760- 830-2752. You can also email your provider at www.relay- health.com for specific ques- tions about measles. If you sus- pect you or your child has measles while visiting NHTP for a medical appointment, please remain outside the clinic doors and a clinician will visit you. This way NHTP can pro- vide you the treatment you need without infecting others in the clinic. By Lt. Daniel Crouch Environmental Health Officer Naval Hospital Twentynine Palms Right: Lt. Cmdr. Christi Marti is piped ashore and into retirement Jan. 6. Lt. Cmdr. Marti’s Navy career began in 1988 when she enlisted and went to Torpedoman “A” school. An accomplished Torpedoman, Marti earned the rank of Petty Officer Second Class at which time she applied for and was selected for the Medical Enlisted Commissioning Program. Marti earned her Bachelor of Science in Nursing from Norfolk State University and was commissioned in May 2000. At Naval Medical Center Portsmouth, Lt. j.g. Marti was the permanent shift charge nurse on a unit that averaged 420 deliveries a month. Lt. Cmdr. Marti retired after 27 years of active-duty service.

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THE EXAMINER

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Did you know?...

Robert E. Bush Naval Hospital

“Serving with Pride and Professionalism since 1993”

You have the right toexpress your concernsabout patient safety and

quality of care.There are several avenues opento you:* Through the ICE website.* The Hospital CustomerRelations Officer at 760-830-2475, or any of the CustomerRelations representatives in theHospital clinics, or directly tothe Joint Commission via: E-mail at [email protected]: 630-792-5636

The Joint CommissionOak Renaissance BoulevardOakbrook Terrace, IL 60181

To report Fraud, Waste andAbuse contact one of thebelow offices by calling:

Naval Hospital: 760-830-2344Combat Center: 760-830-7749NavMedWest: 1-877-479-3832Medical IG: 1-800-637-6175DoD IG: 1-800-424-9098

http://www.med.navy.mil/sites/nhtp/pages/default.aspx

An Award Winning Publication

Patients seen in December -- 9,298Appointment No Shows in December -- 896In December we had an 8.8 percent no-show rate. We need to keep trendingdownward by keeping the appointments we make, or by canceling in enoughtime for someone else to use the slot...To help patients obtain appointments, the Naval Hospital now shows thenumber of open appointment slots each day on the hospital Facebook site,check it out. On Facebook, search: Naval Hospital Twentynine Palms.

To make an appointment call -- 760-830-2752To cancel an appointment call -- 760-830-2369

Measles Outbreak Puts the Unvaccinated at Risk

California State health officialshave announced a measles out-break that originated in southernCalifornia. As of January 21,2015, a total of 59 cases havebeen confirmed.

San Bernardino County current-ly has two confirmed measlescases. Naval HospitalTwentynine Palms (NHTP)Public Health is working withthe county and base medicalfacilities to increase awarenessof measles.

Symptoms of measles includehigh fever, cough, and a redskin rash. Measles is highlycontagious and can travel toothers through coughing andsneezing. It is so contagiousthat if one person has it, 90% ofthe people close to that personwho are not immune will alsobecome infected. Infected peo-ple can spread measles to othersfrom four days before to fourdays after the rash appears.

The best way to preventmeasles is vaccination with theMeasles, Mumps, and Rubella(MMR) vaccine. Since childrenunder 5 years old are at greatest

risk for infection and complica-tions, vaccination among chil-dren is critical. Ask yourprovider if your child is up todate with an MMR vaccine.NHTP invites beneficiaries overone year of age to come and getan MMR vaccine if you or yourchildren have not previouslybeen vaccinated. To learn moreabout measles, visithttp://www.cdc.gov/measles/vaccination.html.

Treatment for measles consistsof reducing patient symptomsand an MMR vaccine if indicat-ed by a provider. Contact yourprimary care team if you or yourchild develops rash and fever.

24-hour nurse advice is avail-able via the Tricare NurseAdvice Line, 1-800-Tricare(874-2273). If you need tospeak to your provider, call theNHTP appointment line at 760-830-2752. You can also emailyour provider at www.relay-health.com for specific ques-tions about measles. If you sus-pect you or your child hasmeasles while visiting NHTPfor a medical appointment,please remain outside the clinicdoors and a clinician will visityou. This way NHTP can pro-vide you the treatment you needwithout infecting others in theclinic.

By Lt. Daniel CrouchEnvironmental Health OfficerNaval Hospital TwentyninePalms

Right: Lt. Cmdr. Christi Marti is piped ashore and intoretirement Jan. 6. Lt. Cmdr. Marti’s Navy career beganin 1988 when she enlisted and went to Torpedoman “A”school. An accomplished Torpedoman, Marti earned therank of Petty Officer Second Class at which time sheapplied for and was selected for the Medical EnlistedCommissioning Program. Marti earned her Bachelor ofScience in Nursing from Norfolk State University andwas commissioned in May 2000. At Naval MedicalCenter Portsmouth, Lt. j.g. Marti was the permanentshift charge nurse on a unit that averaged 420 deliveriesa month. Lt. Cmdr. Marti retired after 27 years ofactive-duty service.

2 -- The Examiner -- February -- 2015

Published by Hi-Desert Publishing, a private firm in no way connected with the Department of Defense, the UnitedStates Marine Corps, United States Navy or Naval Hospital, Twentynine Palms, under exclusive written contract withthe Marine Air Ground Task Force Training Command. The appearance of advertising in this publication, includinginserts or supplements, does not constitute endorsement by the Department of Defense, the United States MarineCorps, the United States Navy or Hi-Desert Publishing of the products or services advertised. Everything advertisedin this publication shall be made available for purchase, use, or patronage without regard to race, color, religion, sex,national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor of the pur-chaser, user or patron. If a violation or rejection of this equal opportunity policy by an advertiser is confirmed, thepublisher shall refuse to print advertising from that source until the violation is corrected. Editorial content is pre-pared by the Public Affairs Office, Naval Hospital, Twentynine Palms, Calif.

Commanding OfficerCapt. Jay C. Sourbeer, MC, USN

Executive OfficerCapt. Angela S. Nimmo, NC, USN

Command Master Chief HMCM (FMF/AW/SW) Carol Merricks, USN

Public Affairs Officer/EditorDave Marks

Command OmbudsmanBright Opoku (760) 910-2050 email: [email protected]

The Examiner welcomes your comments and suggestions concerning the publication. Deadline for submission of arti-cles is the 15th of each month for the following month’s edition. Any format is welcome, however, the preferredmethod of submission is by e-mail or by computer disk.

How to reach us...Commanding Officer Naval HospitalPublic Affairs OfficeBox 788250 MAGTFTCTwentynine Palms, CA 92278-8250Com: (760) 830-2362DSN: 230-2362E-mail: [email protected] Publishing Company56445 Twentynine Palms HighwayYucca Valley, CA 92284Com: (760) 365-3315FAX: (760) 365-8686

L-R: Cdr. Wendy Stone, Lt. Gabriel Forrey, and BUMED InspectorGeneral Capt. Carey Sill examine NHTP HEDIS (HealthcareEffectiveness and Information Set) during the MEDIG/JointCommission survey Jan. 13-16.

Hospitalman Faith Arrant (left), Emergency Medicine Department,instructs Hospitalman Recruit Matthias Bauman, PatientAdministration, on how to properly apply electrocardiogram con-tacts on a patient during the NHTP Skills Fair on Jan. 22.

MEDIG Bestows Coins to Exceptional Staff

Lt. Patricia Opoku Mr. Alex Hogan Ms. Monique Stump

Ms. Barbara Ricker Mr. Federico Hernandez

The Bureau of Navy Medicine and Surgery Inspector General team that visited NHTP in conjunctionwith the Joint Commission survey Jan. 13-16 bestowed only five coins to exceptional employees. TheOperations Management Department (OMD) was singled out for the excellence of its forms, records,and anti-terrorism program. Industrial Hygiene Technician Federico Hernandez was recognized for hiskeen knowledge of equipment and industry standards. Barbara Ricker was recognized for her thorough-ness and excellence in the planning and execution of the Joint Commission/MEDIG visit.

The NAL is a team of registerednurses who are available to answera variety of questions. They canhelp you decide whether self-careis the best option, or if it better tosee a healthcare provider. Therewill always be a live person on theline to address beneficiary con-cerns.

Call 1 (800) TRICARE (874-2273) option 1, 24 hours a day, seven days a week.

The Examiner February 2015 - 3

2X3Smith’s Family

Properties

Preventive Medicine CornerSubmit Questions/Concerns and Tanya Will Provide Answers

Tanya StuckeyDear Tanya,I'm concerned about osteoporo-sis. My parents have gonethrough knee replacement andhip replacement surgery. I wantto make sure my bones are asstrong as they can be but I keepseeing conflicting advice.Should I drink milk? For yearsexperts said drink milk, butnow they are saying milk agesa person. Should I run? MyMarine Corps buddies whohave run all of their adult livesare looking at knee-replace-

ment surgery. Should I take cal-cium supplements? I just don'tknow. I don't want to get kidneystones from calcium supple-ments. Please consult yourexperts and advise. Thank you.Signed,Confused

Confused,

I spoke with Lt. j.g. RachelSmith, our staff dietician, whosaid that three servings of calci-um-rich foods per day (dairyproducts, soy, spinach, etc.) arerecommended. To address theconcern of kidney stones, con-suming more than a moderateamount of food or supplementshigh in oxalates could increaserisk. As with all things, toomuch of anything can have anegative consequence. Weight-bearing and muscle-strengthen-ing exercises, adequate intake ofprotein, fruits and vegetablehigher in magnesium and potas-sium and avoiding excessiveamounts of caffeine are alsoways to promote healthierbones.

Everyone is different and weall have our own unique situa-tions. Conflicting research andchanges in opinions, experi-ences or health needs of ourfriends, family and health prac-titioners can be frustrating attimes. Keep in mind that gen-der, family history and currentbone mass are variables thatare considered when providingdietary guidance.

I hope this helps in guiding youto some decision about yoursteps toward osteoporosis pre-vention. Please do not let thisinformation take the place ofseeing your medical providerand speaking one-on-one withthe dietician.

For more information, make anappointment to talk with yourprimary care manager or withthe dietician. Tanya

Take Health to Heart to Set Positive Example

I often hear parents say theywant their children to have abetter life than they experi-enced, with more opportunitiesfor success, education and betterlifestyle practices.

Well, now is a good time to helpyour child maximize his or herlife through supporting hearthealth. According to theAmerican Heart Association,positive psychosocial experi-ences can lead to better cardio-vascular health. Read on tolearn tips on how you can lend ahelping hand to build a strongerheart.

Stability on the home front:Providing a home for childrenwhere they are free from experi-encing the burdens (financialdebt, marital conflict, etc.) thatare reserved for the adultsreduces unnecessary stress thatcan lead to higher anxiety.

Grow a healthy family:Nutrition and fitness are easierto maintain if we practice from

a young age. For some of us, wedidn't think of eating well orexercising until we were adults.Use fitness and meal prepara-tion to create a family funevent! Aim for at least 150 min-

utes of exercise per week.

Be a role model: Show yourchildren how to be healthy bysetting a good example.Eliminate tobacco and otherharmful substances from yourroutine.

Children learn from watching

the behaviors of the influentialadults in their lives. Practicehealthy stress and anger-copingskills. Not only will you feelbetter, but you are teaching yourchildren how to effectively dealwith stress and maintain self-control when faced with diffi-cult situations.

Model preventive care: Visityour healthcare provider regu-larly for preventive screeningsto discuss blood glucose andcholesterol levels, as well asyour blood pressure! Don't waituntil you are ill. An annualphysical is good practice for allages.

Fortunately, there are plenty ofresources to support a healthylifestyle here in TwentyninePalms! For information on howto implement healthy foodoptions into your meal planning,contact the NHTP dietician,830-2274.

Fitness classes and family funevents can be found on theMCCS websitehttp://www.mccs29palms.com

By Tanya StuckeyNHTP Health Promotions

Good Catch Awards

HM2 Siarhei Kulinkovich (left) is recognized by NHTPCommanding Officer, Capt. J. Sourbeer, for discovering a discrep-ancy in a form for tracking daily temperatures in refrigerators andfreezers. HM2 Kulinkovich’s attention to detail led to standardiza-tion of the form and differentiating between medical and food stor-age temperatures.

Ms. Melissa Tejeda’s good catch was an error in a medication dosefor a child using a pre-packaged syringe in the the liquid medica-tion prescribed. The prescription read one milliliter (20 mg) bymouth daily. The prepackaged syringe was marked in milligrams,not milliliters. The mother thought the whole syringe was one milli-liter. Ms. Tejeda noted the error on refilling and educated thepatient. The patient didn’t experience any adverse effects and Ms.Tejeda prevented possible future harm to the patient.

4 -- The Examiner -- February 2015

Super Stars...

Lt. Sonny Shotwell (left) receives a Navy and Marine CorpsCommendation Medal (Gold Star in lieu of second award)from NHTP Commanding Officer, Capt. J. Sourbeer, formeritorious achievement while serving as Dept. Head, PatientAdministration, NHTP, from Jan. 2013 to Feb. 2015. Lt.Shotwell enhanced the continued processing of 328 independ-ent disability evaluation system cases and reduced the pro-cessing time for claims by average of six month, which led tobeing named the Marine Corps’ number one choice in cus-tomer satisfaction by the Defense Health Agency survey.Providing in-house coding for the Emergency Dept. utilizingEssentris resulted in a 70 percent reduction in the outsidecoding contract. Lt. Shotwell’s distinctive accomplishments,unrelenting perseverance, and steadfast devotion to dutyreflect great credit upon himself and are in keeping with thehighest traditions of the United States Naval Service.

Chief Hospital Corpsman (SurfaceWarfare) Tracy Ashley receives a Navyand Marine Corps CommendationMedal (Gold Star in lieu of fourthaward) for meritorious service whileserving as senior enlisted leader,Directorate for Medical Services andDirectorate for Public Health, NHTP,from Jan. 2012 to January 2015. ChiefAshley implemented and coordinatedthe first Blue and Green basewide CPO365 training programs which fosteredleadership and tradition for 60 first-class petty officers and newly selectedchief petty officers. He developed theCommand Enlisted AdvancementCourse curriculum and conducted 15classes to 250 sailors onboard theMarine Air Ground Combat Center.Chief Ashley’s distinctive accomplish-ments, unrelenting perseverance, andsteadfast devotion to duty reflect greatcredit upon himself and are in keepingwith the highest traditions of the UnitedStates Naval Service.

Left: Lt. Gabriel Forrey receives a Navy andMarine Corps Commendation Medal for merito-rious achievement while serving as departmenthead for, Tricare Operations and UtilizationManagement Departments, NHTP, from Nov.2011 to Feb. 2015. As head, UtilizationManagement, his efforts led to a reduction ofpurchased care costs by $2.9 million. As dataquality manager, the Command achieved 100 per-cent compliance in all 28 data quality metrics forthe first time. As legal officer, he expertly man-aged 61 disciplinary proceedings, 28 administra-tive separations and 21 investigations, helping thecommanding officer maintain good order anddiscipline. Lt. Forrey’s distinctive accomplish-ments, unrelenting perseverance, and steadfastdevotion to duty reflect great credit upon himselfand are in keeping with the highest traditions ofthe United States Naval Service.

Lt. Brent Edwards is helped with his new rank by girlfriend,Dana-Marie Sherrod at his promotion ceremony Jan. 2. Lt.Edwards, a Multi-Service Ward nurse, has been at NHTP sinceMay 2013. Hometown is Phoenix, Ariz. Lt. Edwards is sched-uled deploy in Sept. 2015.

Petty Officer Second Class (FMF) Tyler Holst (left) is present-ed a Navy and Marine Corps Achievement Medal from NHTPCommanding Officer, Capt. J. Sourbeer, “for professionalachievement in the superior performance of his duties whileserving as a hospital corpsman, HQ and Service Company, 3rdCombat Engineer Battalion, 1st Marine Div. (Rein), from Oct.2012 to June 2014. HM2 Holst coordinated medical coveragefor 197 route clearance missions covering more than 36,000km. He performed 60 sickcall procedures, 17 periodic healthassessments, contributed to a more streamlined process for get-ting ammo in preparation for missions. He exceeded drawdownrequirements for the battalion. HM2 Holst taught 65 hours ofenlisted Fleet Marine Force training to 10 sailors, resulting intwo sailors becoming qualified. HM2 Holst’s initiative, perse-verance, and total dedication to duty reflect great credit uponhimself and are in keeping with the highest traditions of theMarine Corps and the United States Naval Service.”[signed]LAWRENCE D. NICKOLSONMAJOR GENERAL, U.S. MARINE CORPSCOMMANDING GENERAL, 1ST MARINE DIVISION

The Examiner -- February 2015 -- 5

Mr. Eric Cruse, NHTP medicalsupport assistant, FamilyPractice Gold Team, is recog-nized with a Federal Length ofService Award in gratefulrecognition of 35 years offaithful service to the federalgovernment.

Ms. Jeannie McAlister, NHTPMedical Support Assistant,Outpatient Medical Records, isrecognized with a FederalLength of Service Award ingrateful recognition of 10 yearsof faithful service to the federalgovernment.

Hospitalman ChristianJohnson receives a Navy andMarine Corps AchievementMedal for “professionalachievement in the superiorperformance of his duties whileserving as general-duty corps-man, Adult Medical CareClinic, NHTP, from March2013 to March 2015. HNJohnson led five sailors in thecompletion of 840 overseasscreenings, ensuring theytransferred fully medicallyready. As the volunteer coordi-nator for Coalition of SailorsAgainst Destructive Decisions,he facilitated five events toincrease awareness on sexualassault, drug abuse, and sui-cide prevention. HN Johnson’spersonal initiative, persever-ance and unswerving devotionto duty reflect great credit uponhimself and are in keepingwith the highest traditions ofthe United States NavalService.”

Hospital Corpsman SecondClass Martel Thomas receivesa Navy and Marine CorpsAchievement Medal for “pro-fessional achievement in thesuperior performance of hisduties while serving as preven-tive medicine technician,NHTP, from Feb. 2012 to Jan.2015. Petty Officer Thomasefficiently managed 42 trainingrecords nd increased compli-ance from 60 to 90 percent. Asinformation management liai-son, he tracked 100 workrequests and maintained strictaccountability of 87 equipmentitems. He ensured the collec-tion of 3,435 water sampleswith zero waterborne diseases.He supervised seven instruc-tions in conducting 84 food-service training courses to3,650 employees. Petty OfficerThomas’ personal initiative,perseverance and unswervingdevotion to duty reflect greatcredit upon himself and are inkeeping with the highest tradi-tions of the United States NavalService.”

Hospitalman Lillian Thomas is presented a Navy and Marine CorpsAchievement Medal from NHTP Commanding Officer, Capt. J.Sourbeer, “for professional achievement while serving as general-duty corpsman, Internal Medicine Department, Naval HospitalCamp Lejeune from July 2012 through July 2014. HospitalmanThomas consistently demonstrated outstanding performance by pro-viding supportive services for two cardiologists and three dermatolo-gists in the provision of quality healthcare to more than 10,000 ben-eficiaries. Additionally, she expertly managed 35 staff trainingrecords, increasing the department’s training readiness by 55 per-cent. Hospitalman Thomas’ exceptional professional ability, person-al initiative, and loyal devotion to duty reflect great credit upon her-self and are in keeping with the highest traditions of the UnitedStates Naval Service.”

Hospitalman John Holtz is pre-sented a Letter ofCommendation for “outstand-ing performance of duties whileserving as general-duty hospitalcorpsman, Adult Medical CareClinic, NHTP, from Mar. 2013to Mar. 2015. HospitalmanHoltz consistently performedhis duties in an exemplary andhighly professional manner. Asthe senior treatment-roomcorpsman, he assisted in 1,332patient encounters, adminis-tered 850 vaccinations, 635blood draws, and assisted in475 medical procedures result-ing in increased quality andefficient patient-centered care.He operated independently asthe sole Corpsman with MarineCorps Air Ground CombatCenter Explosive OrdinanceDisposal for three months wileproviding medical support for65 range sweeps. He also main-tained medical readiness at 100percent through meticulousrecords verification, three massshot calls, and two physical-health assessment stand-downs.Hospitalman Holtz’ exceptionalprofessional ability and loyaldedication to duty reflectedgreat credit upon himself andare in keeping with the highesttraditions of the United StatesNaval Service.”

Awardees are congratulated bymembers of the NHTPCommand following the “FirstFriday” award ceremony Jan.16.

6 -- The Examiner -- February 2015

Sub Offer5X3

Introducing New Staff -- Welcome Aboard!

Ms. Kyiah Costa Mr. Joshua DanielsHMCS Kevin Bittinger Ms. Shamica DeBoseLt. Cmdr. Virgilio Crescini

Ms. Kyiah Costa is NHTP’snewest ultrasound technicianin the Radiology Department.She arrived from Paducah, Ky.,and appreciates this area for itswarm temperatures. She’s beenan ultrasound tech for fiveyears and received her trainingat West Kentucky TechnicalCollege in Paducah, Ky. She’salready found a house inTwentynine Palms which sheshares with a house mate,NHTP’s night ultrasound tech.For recreation, Ms. Costaenjoys off-roading, motorcy-cling, and hiking; however, sheleft her Jeep in Kentucky asshe could only drive one vehi-cle to California. So far she’sexplored Palm Springs, theLiving Desert Zoo, and hasventured out to Las Vegas. Ms.Costa particularly liked PalmSprings Tram. “There wassnow up there, so we did somesledding,” she remarked. Herfavorite Pandora station is NewCountry.

Lt. Cmdr. Virgilio Crescini isthe new department head forthe Maternal Infant NursingDepartment. He arrives fromMedical Center San Diegowhere he was clinical nurseeducator in the neonatal inten-sive care unit (NICU) from2011 to 2014. “As the Director,with a NICU background, I’llbe able to assess infants todetermine whether they need tobe transported,” he said. Likethe previous Director, Lt. Cmdr.Crescini is a TeamSTEPPSinstructor and will be promot-ing the program here. Cresciniis sharing a home in town andreturns to San Diego, hishometown, on weekends. Heearned his Registered Nursingdegree from San Diego StateUniversity. He remembers visit-ing Twentynine Palms in 1985to visit a Marine Corps friend.He’s looking forward to explor-ing Joshua Tree when he’s notgolfing, jogging, reading, orfishing.

Senior Chief Petty OfficerKevin Bettinger is no strangerto the high desert. He and hiswife, Vicky, spent two previoustours here. First, as a juniorcorpsman with 1st Tanks from1993-1995, and from 2006-2009 with the 7th Marines. Heenlisted into the Navy as acorpsman 24 years ago fromhis hometown, Harrisburg,Penn. He arrived from CampPendleton, 1st MarineDivision, where he served asLeading Chief Petty Officer.This bona fide desert rat andplank owner requested NHTP.He will be senior enlistedleader for Branch Clinics. Forrelaxation, Bettinger enjoyssports. “I watch ESPN ad nau-seum,” he said. “I’m all aboutfootball. The sole reason I gotDirect TV is so I can watchsports.” Bettinger’s wife, Vicky,works for MCCS and enjoyscooking for her husband whois an avowed “steak and pota-toes guy.”

Mr. Josh Daniels is our newestrisk manager in NHTP’s Officeof Quality Management. Herecently earned his Masters inHealthcare Business fromWestern Governor’s Universityin Salt Lake City, adding to hisregistered nursing degree fromCalif. State University,Domunguez Hills. Mr. Danielshas extensive experience as anIntensive-care unit nurse. Heappreciates the high desert forits beauty and the majesticmountains, and arrived in thecompany of his wife, Natasha,a nurse anesthetist at HighDesert Memorial Hospital inJoshua Tree. Mr. Daniels hasworked at an 800-bed hospitaland then at a 200-bed hospital,and he likes the feel of ourmuch smaller facility.“Everyone’s so nice,” heremarked. “This is a really nicehospital.” Daniels enjoys hik-ing, skiing and climbing. Hisfavorite music: Pearl Jam.

Ms. Shamica DeBose, original-ly from Jacksonville, Fla., isNHTP’s newest CLR (clear andlegible reporting) clerk. Shehas ample experience havingworked with medical records ina prison, in a hospital and witha home-care provider. Her hus-band, Artonio, is a GunnerySgt. assigned to Marine WingSupport Squadron 374(Rhino’s). They have two boys,10 and 12, Jarrod and Jordan. The DeBoses traveled herefrom Camp LeJeune, N.C. “Myhusband got promoted on Oct.1, and we immediately left tocome here. They took five daysto drive cross country andarrived at the Sleepy TortoiseInn on Oct. 5. They are livingon base. For family activities,the DeBoses watch movies, playbasketball, take hikes and ridebikes. Mrs. DeBose works inthe Healthcare BusinessDirectorate, consolidating out-side referrals into patients’ mil-itary medical records.

The Examiner -- February 2015 -- 7

MBTA2X8

Culinary Specialist Second Class (SW) Dominique Demeritte (left) gives a 72-hour special liberty toCulinary Specialist Second Class Javonnie Beall following his reenlistment ceremony Jan. 23. “Wordscan’t express how proud I am,” Demeritte said after signing up for three more years. CS2 Demeritte hasorders for the USS Bonhomme Richard, a forward deployed amphibious assault ship out of Sasebo,Japan. CS2 Demeritte has been pulling a security detail while at NHTP. He’s ready to return to his culi-nary arts specialty. “I just like being a sailor,” Demeritte said. “Anything they throw my way, I’m readyfor it.”

Lt. Lawrence Johnson gets help with his new insignia from NHTP Executive Officer Capt. AngelaNimmo while NHTP Commanding Officer Capt. Jay Sourbeer ensures attention to detail. Lt. Lawrencehas been in the Navy four years. From Los Lunas, N.M., Lawrence is a nurse on the Multi-ServiceWard. Lt. Lawrence was promoted to his current rank in a 26 Jan. ceremony on the third deck of NHTP.

Hospital Corpsman Second ClassSiarhei Kulinkovich reenlisted forsix more years Jan. 8. HM2Kulinkovich, a general-dutyCorpsman on the Multi-ServiceWard, has been in the Navy fiveyears. Originally fromNavapolatsk, Belarus, Kulinkovichwas an Engineman on the supercarrier USS John C. Stennisbefore becoming a Corpsman. Hecurrently has orders to attendRadiology School at Fort SamHouston.

8 -- The Examiner -- February-- 2015