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Tuba City Regional Health Care Corporation Healthy Directions • TCRHCC Recognizes Employee with “Service Award Ceremony” • TCRHCC Showcase Mobile Unit • Adelphi University School of Nursing Donates to TCRHCC OEH Safety initiatives • TCRHCC Department of Orthopedics: Athlete’s Foot (Acute Tinea Pedis) • TCRHCC HPDP: 2013 Just Move It Schedule • Hiking Tips • Hiking Schedule In this issue: June 2013 FREE - TAKE ONE TCRHCC Recognizes Employee with “Service Award Ceremony” TCRHCC Recognizes Employee with “Service Award Ceremony”

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Tuba City Regional Health Care Corporation

Healthy Directions

• TCRHCC Recognizes Employee with “Service Award Ceremony”

• TCRHCC Showcase Mobile Unit

• Adelphi University School of Nursing Donates to TCRHCC OEH Safety initiatives

• TCRHCC Department of Orthopedics: Athlete’s Foot (Acute Tinea Pedis)

• TCRHCC HPDP: 2013 Just Move It Schedule

• Hiking Tips

• Hiking Schedule

In this issue:

June 2013 FREE - TAKE ONE

TCRHCC Recognizes Employee with “Service

Award Ceremony”

TCRHCC Recognizes Employee with “Service

Award Ceremony”

Page 2

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

TCRHCC Recognizes Employee with “Service Award Ceremony”

On May 15, 2013 Tuba City Regional Health Care Corporation (TCRHCC) hosted an employee recognition luncheon in honor of its dedicated staff members. Based on years of service, employees were recognized by the Hospital’s Board of Directors and administration. Special recognition was given to Emerson Norris, Facilities Management, Valerie Honeyestewa, Pediatric Acute for 30 years of service. In addition, retirees Danny Yazzie and Harley Tsingine who were at the Service Award Ceremony were acknowledged during the ceremony.

“TCRHCC would not be the facility it is today without these dedicated and hard working individuals,” says Joe Engelken, CEO. “We are honored to have such a loyal staff that takes pride in serving our community for so many years.”

Adding to the individuals named above, TCRHCC also honored employees who served 5, 10, 25, 30 years and retirees. These service award recipients consist of employees that truly make up the back bone of the hospital and always put the patient first.

TCRHCC Employee Awards Committee want to thank Bernadine Thompson for her time and committement at the Service Award Ceremony as the Master of Ceremony. The committee also wanted to thank the Board of Directors for attending and congratulating each of the employees.

Direct Hire Service Awards5 YearsAMEN, KENNETH Respiratory TherapyBEGAY, RITA CHS ManagementBEGAY, SHELLEY D Patient Financial SvcsBEN, CHARLENE Mental HealthBIGMAN, ANCITA Adult Walk-In ClinicBILEEN, SHERRY M Eye ClinicBLINDMAN, CHARLENE Public Health NursingBLINDMAN, SUSAN Patient BenefitsBURDEN, JENNIFER PharmacyBURDEN, KEVIN RadiologyCASTILLO, BETTY Pediatric UnitCHIMERICA, SHANNON K Patient Financial SvcsCOOPER, ANGELA Public Health NursingDAVIS SR, PETER Environmental ServicesELMER, TIANA Patient Financial SvcsFARR, JOAN Case ManagementFARR, STEVE RadiologyFOWLER, KAYLIN Medical RecordsFOWLER, NORA Facilities SupportGRANGER, MARLIN Sterile ProcessingHANKS, CALVIN Patient RegistrationHANKS, EUGENIA DentalHANLEY, KIM TelecommuicationsHARDY-BECENTI, VERONICA Administration

Hospital Honors Dedicated Staff for Loyal Years of Service

Page 3

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

HIGGINS, LINDA Ob/Gyn MedicalHOWARD, LINETTE RadiologyHUMINIMPTEWA, ELLEN Amb Care AdministrationJEAN, LISA M Intensive Care UnitJONES, AARON SPHC Physical TherapyKIYAANI, DOREEN Eye ClinicLAUGHTER, ARLENE Patient Financial ServicesLITTLE, BERNITA Patient RegistrationMAIAVA, JANTHINA PharmacyMCCABE, EVERLEE Physical TherapyMOJADIDI, QUDRATULLAH Ob/Gyn MedicalMORGAN, TERILYN PharmacyMORRIS, MIKI Medical RecordsNORRIS, DANIEL R FinancePELA, JOYCE A DietaryPETERS, THOMAS OrthopedicsPRICE, GLORIA Patient Financial SvcsRAY, MELANIE General SurgeryRIGGS, GWENDELYN Diabetes ProgramSANTIAGO, NANCY RadiologySCOTT, ROSE Patient RegistrationSEWEINGYAWMA, RAYNELLE CHS ManagementSIMMONS, SELENA Patient BenefitsSKINNER, VIOLET Utilization ManagementTALLMAN, PETER Facilities SupportTALLSALT, EUGENA J FinanceTENAKHONGVA, ELENA PharmacyTSOSIE, DORENA SPHC ClinicTSOSIE, EMOLINDA PACUWALKER, STACEE PharmacyWILLIAMSON, CAROL PharmacyYAZZIE, GABRIEL Information TechnologyYAZZIE, SARAJEAN Patient RegistrationYELLOWHAIR, VANESSA DentalYOUNG, JAMES Pharmacy

10 YearsBENALLY, KENNY Medical RecordsBONAR, LYNETTE F AdministrationBROMBERG, JONATHAN OrthopedicsCOOLIE, ROSE J Pediatric UnitCURLEY, CHRISTINE K CHS ManagementFARRELL, DEBORAH A Infection ControlGOLDTOOTH SR, MAXIMILIAN Bio-MedicalGOLDTOOTH, MARIAN PACUHALSTEAD, LYNNDELLA Sterile ProcessingHENDERSON, ELRINA M Public Healh NursingHERNANDEZ, SUSIE T Human ResourcesJOHNSON, SHANNON Trauma ProgramMALONEY, MICHELLE Quality ManagementSECODY, LAVERNA R SPCH Medical Records

TSOSIE JR, BILLY General ServicesTSOSIE, TONYA A Amb Care AdministrationWATSON, BEATRICE QuartersWILLIAMS, KRYSTAL L RadiologyWILSON JR, JOHNNY Pharmacy

RetiredMarietta Coin Pediatric AcuteSharon Heward Laboratory

IPA Service Awards10 YearsNina Manson Pediatric AcuteMaizie David OPD/Internal Medicine

20 YearsFaye Finlay OBD/Walk-In ClinicVirginia Benally OB/Gyn AcuteMary Scott Amb Care - Administration

30 YearsEmerson Norris Facilities ManagementValerie Honeyestewa Pediatric Acute

RetireesYazzie, Danny General ServicesSecody Jr., Mark HousekeepingRiggs, Earl PurchasingUpshaw, Maybelle ICULomanufeoma, Gilbert HousekeepingMcDaniel, Carol L. DentalRichardson, Larry E. Eye ClinicDennison, Frank Facilities ManagementButler, Blanche OB UnitHatathlie, Billy HousekeepingTsingine, Harley General ServicesColorado, Geneva Short Stay Surgery

Page 4

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

TCRHCC Community Health Program

ShowcaseMedical and Dental Mobile Unit

JUNE 14, 2013TCRHCC Parking LotFrom 9AM – 1PM

For more information or to set up a booth, call 928-283-2607.

Tuba CityRegional Health Care Corporation

Join Us! Informational Booths, Services in Tuba City, Health & Nutrition Tip andInformation, Fitness Tips and Information, and Refreshments

Page 5

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Adelphi University (AU) School of Nursing from Long Island, New York visited Tuba City Regional Health Care Corporation (TCRHCC), May 21-22, 2013, to learn about native culture in the region and health care programs.

Joette Walters, RN, Director of the Nurse Education Department, worked with the AU School of Nursing, to tour TCRHCC and set up the following presentations:

• Native Culture & Spiritual Medicine presented by Patrick Boone, Coordinator, Office of Native and Spiritual Medicine.

• Community Health Program presented by Patricia Bartholomew, RN, Director of Community Health.

• Environmental Health Programs and Initiatives presented by Jordan Begay, Injury Prevention Coordinator, Office of Environmental Health Services.

• Nursing Excellence at TCRHCC presented by Yolanda Burke, RN, Supervisor of Case Management.

After the presentations, AU faculty and nursing students presented two 3-in-1 car seats to the TCRHCC Office of Environmental Health Services’s Prevention Injury Program.

The faculty and students also toured Inscription House Clinic, Hopi Health Center, and several scenic places in the region.

Adelphi University School of Nursing Donates to TCRHCC OEH Safety initiatives

Top Photo: AU School of Nursing presented two 3-in-1 car seats to TCRHCC Office of Environmental Services’s Injury Prevention Program. Starting from left, Jordan Begay, Injury Prevention Program Coordinator; AU School of Nursing Faculty; Angela Maloney, Director of Office of Environmental Services; AU School of Nursing Faculty; Angie Chee, Office of Environmental Health Services. Bottom Photo: Office of Environmental Health and AU School of Nursing pause for a photo after the presentation.

Page 6

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Athlete’s foot is a skin infection caused by fungus. A fungal infection may occur on any part of the body; on the foot it is called athlete’s foot, or tinea pedis. Fungus commonly attacks the feet because it thrives in a dark, moist, warm environment such as a shoe or boot.

Fungal infections are more common in warm weather when feet tend to sweat more. Fungus thrives in damp areas such as swimming pools, showers, and locker rooms. Athletes commonly have sweaty feet and use the facilities where fungus is commonly found, thus the term “athlete’s foot.”

Athlete’s foot usually produces itchy, dry, scaling skin. It is commonly seen on the soles of the feet and in between the toes. In advanced cases, inflammation, cracks, and blisters may form; an infection caused by bacteria can also result. The fungus can spread to other areas of the body, including toenails.

Avoiding walking barefoot combined with good foot hygiene can help reduce the spread of the fungus. Feet should be washed every day with soap and water and thoroughly dried, including between the toes. Feet should be kept as dry as possible. If your feet sweat a lot you may need to change your socks during the day. Anti-fungal powders, sprays, and/or creams are often utilized to treat athlete’s foot podiatrist will recommend the best treatment for you.

Athlete’s Foot(Acute Tinea Pedis)by Julie Maloney, PADepartment of

Orthopedics& Podiatry

Tuba City Regional Health Care Corporation

PodiatryWalk-In ClinicEvery Monday and WednesdayFrom 8 AM to 4PM

For ANY pain,wound,or injury of the:• Leg• Ankle• Foot

For more information or to schedulean appointment contact theTCRHCC Surgery/Ortho Clinicbetween the hours of 8 AM – 4 PM.

CALL TO MAKE AN APPOINTMENT928-283-2660

NO REFERRALNEEDED

Page 7

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Sponsored by

Tuba CityRegional Health Care Corporation

DEPARTMENT OF DIABETESTREATMENT & PREVENTION PROGRAMHealth Promotion Program

DATE LOCATION REGISTRATION START

JUNE 11 MOENKOPI W/10K 5:00 PM DST 7:00 PM DST @ MOENKOPI LEGACY INN

JUNE 22 GRAND CANYON 8:00 AM MST 9:00 AM MST @ GRAND VIEW

JUNE 25 HIDDEN SPRINGS 6:00 PM DST 7:00 PM DST

JULY 6 FLAGSTAFF 8:00 AM MST 9:00 AM MST @ COCONINO HIGH SCHOOL

JULY 9 BODAWAY/GAP 6:00 PM DST 7:00 PM DST

ALL EVENTS ARENON-COMPETITIVE

& FREE

For more information, call: 928–283-1420 or 928–283-2404

Page 8

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Adelante Healthcare

Canyonlands Healthcare

Chiricahua Community Health Centers, Inc.

Community Health Center of Yavapai

Copper Queen Medical Associates

Desert Senita Community Health Center

El Rio Community Health Center

Maricopa Health Care for the Homeless

Maricopa Integrated Health System

Mariposa Community Health Center

MHC Healthcare

Mountain Park Health Center

Native Americans for Community Action, Inc.

NATIVE HEALTH

North Country HealthCare

Sun Life Family Health Center

Sunset Community Health Center

Tuba City Regional Healthcare Corporation

United Community Health Center

– Maria Auxiliadora, Inc.

Wesley Community & Health Center

Find it in Your Local Community Health Center.Members of the Arizona Alliance for Community Health Centers provide top quality, patient-focused primary healthcare services

local healthcare home. visit AACHC.org

Primary Healthcare for All.

Tuba CityRegional Health Care Corporation

Page 9

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Hiking TipsPlan Ahead

Before you go, plan ahead. You are entirely on your own. Your descent marks your entry into a world in which preparation, self-reliance, and common sense are crucial. Be conservative in planning your hikes!

Don’t Hike AloneKnow what your destination will be.

Don’t overestimate your capabilities. Hike intelligently. You are responsible for your own safety as well as that of everyone in your group.

Be a LightweightThe less you carry, the more enjoyable

your hike will be, so travel as lightly as possible. The heaviest items in your pack should be your food and water. Hiking sticks can take some of the stress off your legs.

Wear well-fitting and broken-in lightweight hiking boots. Wear sunscreen, sunglasses, and a hat.

Stay on the trail and never shortcut switchbacks.

Avoid Huffing and PuffingIf you can talk while you are walking,

you are walking at the perfect speed. When you huff and puff, your legs, your digestive system, your whole body does not get enough oxygen to function efficiently. Your energy reserves get used up very quickly with this type of metabolism (anaerobic – without enough oxygen), and it creates a lot of waste products. These waste products make your legs feel heavy and make you feel sick.

Walking uphill at a pace that allows you to be able to walk and talk will help guarantee that your legs and your body are getting the oxygen that they need to function efficiently (aerobically – with enough oxygen). Because your body will generate fewer of these metabolic waste products, you will be better able to enjoy your hike, and you will feel much better when you reach its end. It may seem like you are walking too slow, but at an aerobic pace (sometimes baby-sized steps

when the trail is steep) your energy reserves will last many times longer, and you will get there feeling well.

Be Kind to YourselfDo not exceed your normal level of

physical activity or training. If you have asthma, heart problems, diabetes, knee, back or any other health or medical problem, please limit your exertion and especially your exposure to the heat. The altitude, the strenuous climbing, dehydration, and the intense inner Canyon heat, all combine to make any medical problem worse. Please stay within your training, physical limitations, abilities.

Take a BreakA break of five to seven minutes every

30 to 60 minutes can remove approximately 20 to 30 percent of the waste products that have built up in your legs while hiking. Sit down and prop your legs up above the level of your heart and let gravity help drain these metabolic waste products out of your legs.

Eat some food, drink some fluids, and take this break time to really enjoy and appreciate the view. These efficient breaks can really recharge your batteries. In the long run, these breaks will not slow you down.

No Food, No Fuel, No FunStay hydrated and eat often. Eat and drink

more than you normally do. Eat before,

during, and after you hike. Eat before you are hungry. Drink water before you are thirsty. No matter what the temperature, you need water and energy to keep going.

Keeping yourself cool and hiking in Arizona takes a very large amount of energy (food). Salty snacks and water or sports drinks should be part of any hike. Food is your body’s primary source of fuel and salts (electrolytes) while hiking in a desert climate.

Your best defense against illness and exhaustion is to eat a healthy breakfast, a snack every time you take a drink, and a rewarding full dinner at the end of the day. This is not a time to diet.

Eating adequate amounts of food will also help guarantee that you are replacing the electrolytes (salts) that you are sweating out. If you replace the water, but not the electrolytes that you have sweated out of your body, you can develop a serious and dangerous medical condition known as hyponatremia (water intoxication), which, if left untreated, can lead to seizures and possibly death. You need to eat about twice as much as you normally would to meet your energy and electrolyte needs while hiking.

Watch your timePlan on taking twice as long to hike uphill as it takes to hike downhill. As a courtesy, give uphill hikers the right of way.

Source: National Park Service

Page 10

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Dates:June 21, 2013 – Middle MesaJune 28, 2013 – Preston MesaJuly l2, 2013 – Secody Arch

July 19, 2013 – Betatakin Canyon

Navajo Nation Special Diabetes Program2013 Backyard Hiking Series

Transportation, water and lunch will be provided.

**Ages 15 and older, if child is 14 and younger, we need parent invovlement **

Registration for the event at the Tuba City Wellness Center or call 928-283-3058/3492.

Ingredients• Lemon Sauce:• 1/2 cup vegetable stock or water• 1/4 cup lemon juice• 1 tablespoon cornstarch• 2 teaspoons apple juice or dry sherry• 2 teaspoons light soy sauce• 1 teaspoon chili sauce• 1 chicken-flavored bouillon cube, crushed OR

1 teaspoon instant chicken bouillon granules

Chicken and Vegetables:• 2 tablespoons vegetable oil• 1 pound boneless, skinless chicken breasts,

cut into thin strips• 2 cloves garlic, crushed• 4 cups cut-up fresh vegetables such as green

onions, fresh mushrooms, carrots, red pepper, broccoli florets, snow peas and celery

• 2 tablespoons Equal® Spoonful or Granulated*

• Hot cooked rice (optional)

*May substitute 3 packets Equal® sweetener

Equal® Lemon Chicken Stir-Fry

PreparationFor Lemon Sauce, combine vegetable stock, lemon juice, cornstarch, apple juice, soy sauce, chili sauce and chicken-flavored bouillon cube in small bowl until smooth. Set aside.

Heat oil in wok or heavy frying pan over medium heat. Cook and stir chicken and garlic until chicken is no longer pink, about 10 minutes. Re-move from pan; keep warm.

Add vegetables. Cook and stir about 3 minutes or until heated through.

Return chicken to pan; add Lemon Sauce. Cook until sauce is thickened and bubbling. Stir in Equal®. Serve over rice, if desired.

Serve this colorful Asian dish over rice for a satisfying entree.

Serves: 4

Nutrition Information• Calories: 243• Total Fat: 9 g• Saturated Fat: 1 g• Cholesterol: 66 mg• Sodium: 308 mg• Total Carbohydrate: 12 g• Protein: 28 g

Page 11

Tuba City Regional Health Care Corporation Healthy Directions Newsletter

Introducing:

Same DayAppointmentTuba City

Regional HealthCare Corporation

Tuba City Regional Health Care now offers Same Day Appointments for their adult patients, as well as for children. Give us a call before you make a trip or come to the hospital to be seen. Calling ahead to schedule an appointment will save you time, and you can schedule your appointment at a date and time that is best for you.

Call to make an appointment if you:• Havecoldorflusymptoms• Think you have an infection•Are running out of medicines

because you missed an appointment•Need blood pressure, diabetes, or

tuberculosis screening•Have a health concern

To make an appointment, call:

928-283-2669After dialing, press ‘1’ to make an appointment.

“A community-based clinic aimed at providing Native Americans living in Flagstaff with non-urgent primary health care.”

3480 East Route 66 • Flagstaff, AZ 86004 • tchealth.org

TO SCHEDULE AN APPOINTMENT

928-863-7333

Family MedicineGynecologyInternal MedicineLaboratoryPediatrics

Services Provided:PharmacyPhysical TherapyPrimary Care ServicesRadiology

Same Day Appointment 283-2669Patients are encouraged to call ahead to make an appointment for a Same-Day Appointment if available, or schedule another day that works best for you. Call the Same Day Appointment from 8:00 am to 4:00 pm to schedule your appointment.

Family Medicine Clinic 283-2458 Monday - Friday: 8:00 am - 5:00 pm (Some evening hours available.)

Pediatric Clinic 283-2679Pediatric Clinic Appointments-Call the clinic from 8:00 am to 4:00 pm to schedule your appointment a few days BEFORE you want your child to be seen.

TO MAKE AN APPOINTMENT, Call the appointment desk at 928-283-2679.

Outpatient Pharmacy 283-2754Open 7 Days a week from 8:00 am - 12:00 am24-Hour Pharmacy refill line: 1-866-283-2921Prescriptions are ready for pick-up with no waiting time for patients who call in 24 hours in advance.Pharmacy Drive-Thru is NOW OPEN for Refill Prescription Pick-Up Only from 8:00 am to 12:00 am (midnight), 7 days a week, including holidays.

Dental Clinic Tuba City: 283-2672 Tuba City Monday - Friday: 7:00 am - 5:00 pm (Thursday afternoons - urgent care only) Cameron: 213-8161 Cameron Monday, Tuesday, Wednesday & Thursday: 7:30 am - 5:00 pm

Diabetes/Internal Medicine 283-2689 Monday - Friday: 8:00 am - 5:00 pm Some evening hours available by appointment only. Diabetes Education: 928-283-2895

Diabetes Healthy Living Center 283-2895 Appointments and walk-ins Monday - Friday: 8:00 am - 5:00 pm - Abdul Baco: 283-2895 - Ruby Whitethorne: 283-2895 - Health Technicians: 283-2895

Ear/Nose Throat (ENT) Clinic 283-2974 Monday - Wednesdays: 8:30 am - 5:00 pm (By referral only)

Environmental Health 283-2844 Car Seat Day Every Thursday: 10:00 am - 3:00 pm

Eye Clinic 283-2748 Monday - Friday: 7:00 am - 5:00 pm

Health Promotion/Diabetes Prevention Health Promotion Program 283-1429/1420 Diabetes Prevention Program 283-1429/1420

Mental Health 283-2831 Monday - Friday: 7:00 am - 6:00 pm

OB/Gyn Clinic (Women’s Health) 283-2460 Monday - Friday: 8:00 am - 5:00 pm, except Tuesday start at 9:30 am

Occupational Therapy 283-2593/2594 Speech Therapy Monday - Friday: 8:00 am - 5:00 pm

Orthopedic Clinic/Surgical 283-2660 Orthopedic Clinic Tuesday: 8:00 am - 5:00 pm, Thursday: 8:00 a.m. - 12:00 noon Urology, Podiatry & Surgery Monday - Friday: 8:00 a.m. - 5:00 p.m. (Call for specific clinic times)

Physical Therapy 283-2659 Monday -Wednesday & Friday: 8:00 am - 5:00 pm, Thursday: 8:00 am - 12:00 pm

Respiratory Therapy 283-2596 Everyday 24 hours a day

Cardiac Rehabilitation 283-2960 Monday, Wednesday, Friday: 8:00 am - 12:00 pm

Extended Hours (Evening Clinics) Selected nights, Monday - Thursday Diabetes Prevention: 283-2689 Diabetes/Internal Medicine: 283-2689

Emergency Room ANNEXFor patients in need of medical care after normal, daily walk-in hours. Go to the Emergency Department to be screened and registered. No appointment necessary.

TCRHCC Main Telephone Switchboard (928) 283-2501

Emergencies: Call Navajo Nation Police (928) 283-3111

Tuba City RegionalHealth Care Corporation

167 North Main StreetP.O. Box 600

Tuba City, Arizona 86045928-283-2501

Tuba CityRegional Health Care Corporation

Healthy DirectionsAurelia Yazzie – Community RelationsAdministration - Office of the CEO167 North Main StreetP.O. Box 600Tuba City, Arizona 86045

Tuba City Regional Health Care offers Same Day Appointments for their adult patients,

as well as for children. Give us a call before you make a trip or come to the hospital to

be seen. Calling ahead to schedule an appointment will save you time, and you can

schedule your appointment at a date and time that is best for you.

Call to make an appointment if you:•Havecoldorflusymptoms•Think you have an infection•Are running out of medicines because you missed an appointment•Need blood pressure, diabetes, or tuberculosis screening

•Have a health concern

To make an appointment, call 928-283-2669.Tuba CityRegional Health Care Corporation