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Quad City Herald
Brewster, Washington
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January 8, 1998     Quad City Herald
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January 8, 1998
 

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Harmony House given good report t]y :state inspectors by Cheryl Schweizer, staff writer An extended care facility must meet stringent federal regulations in order to stay in business. Its operators also must meet state guidelines; in Washington, thoseregulations"often exceed those of the federal government," said Harmony House owner Jerry Tretwold. In fact, Tretwold said, Washington extended care facilities suchas Harmony House face regulations more stringent that those imposed on the nuclear power industry. Each facility is inspected once each year to ensure compliance; the inspectors show up "morning, noon or night. Unannounced," Tretwold said. The state inspectors recently paid an unannounced "Do wescrew up? Yes. Because we're human," - Jerry Tretwold at Harmony House. visit to Harmony House.Theyhave a checklist that includes 522 items, each with separateelements to be inspected. Of the 522-plus possible violations, inspectors found three violations "We're pretty proud of that," Tretwoid said. Tretwoid said the good report is a tribute to his employees and their hard work, and to the training offered to the employees. He said he is proud of his employees; without them, there would not be a facility. Training programsare offered in-house, inclu.ding a state-certified program for nurse's aides. That may be the only one in Okanogan County, said Linda Kirk, assistant director of nursing. Because the state inspectors can and do arrive at any time of the day or night, it is important that all employees be trained the proper way, she said. Tretwold said the in-house program has been an asset for the employees, because they are able to receive hands-on training; the instructor can watch them while they work, and provide "instant feedback." The federal and state reimbursement rates for extended care facilities is less than that paid to hospital; in fact, it is one-third the rate paid to hospitals, Tretwold said. That means that nursing homes cannot pay the wages offered by hospitals. Tretwold said in his opinion employees stay because they like the residents and are committed to them. Harmony House also has a quality assurance director; that is another way to ensure quality control,Tretwold said. The head of each department also reviews his or her own department to make sure it meets the standards set, Tretwold said. Kirk credited director of nursing Nancy Baker with setting a high standard not only for the nurses, but the whole staff. "She really has an ethic of respect and honoring" residents, she said. Kirk has a special name for the nursing staff. "My word is the corps of caring." No matter how many checks, controls and backups are put in place, things can happen. "Do we screw up? Yes. Because we're human," Tretwold said. He said when the operators find an error, they correct and try to put procedures in place to ensure it doesn't happen again. People come to Harmony House for both short term and long term residence. They cannot enter without a doctor's recommendation. Part of that recommendation includes care plan; it establishes goals for each resident. A detailed plan is prepared to meet that goal and the targets established. For many patients the ultimate goal is to leave Harmony House. "Discharge is talked about from the first day, practically," Kirk said. The most important goal is to ensure each person reaches his or her full potential, Tretwold said. To do that the care plan can provide physical therapy, medication, whatever is necessary. Kirk began working at Harmony House 10 years ago; "I started here as a nurse's aide," she said. She became a nurse and left to work elsewhere. S he said when she started 10 years ago resident records were kept on a metal clipboard. Eventually the clipboards got so full they couldn't hold all the necessary records and the staff switched to three-inch notebooks. Now those are "Everyone gets a chance to speak up," - Linda Kirk, asst. director of nursing so full they can't hold all the necessary papers. Kirk said she thinks that is a good sign. "I think it reflects that we're doing more. We're tracking more things." The facility also provides care for the terminally ill and people suffering from dementia. Each of those roles--short term care, long term care, terminal care, special diseases---puts different demands on the staff. The residents' doctors and the nursing home staff must work in partnership to ensure the best benefit for the patient, she said. In a hospital, doctors usually see their patients every day; they don't come to the nursing home every day. The doctors still must be informed of the patient's condition, and it is up to the nursing home staff to do it. "You have to be good reporters.". Kirk said she wanted to work at Harmony House because she liked the way the staff worked together. "Everyone gets a chance to speak up," she said, and that makes all the staff members feel like they have a stake in resident care, and that what they think matters. "Not all nursing homes are run that way." Nancy Kitzel con't from page 1 been to entertain children. Because I worked with children all my life." Devout Christians, Kitzel and her husband Dick have been active in church youth groups wherever they lived. Now Kitzel helps Virginia Madden with children's church at the Calvary Baptist Church in Brewster. Their own children always brought their friends,over; when the family lived in.Diablo "we had ,children in our house and our yard all the time." Their-son and daughter are grown now (the pool table and ping-pong table have been removed from the living room), but Dick and Nancy Kitzel are still interested in kids. Some of their youthful neighbors aloug North Star Road ride to church with them on Sundays. The little paper stars decorated packages this Christmas and were given to her young friends. "It's [DoN CROCKER All `'ii" is!dli F ing Ucensed for Septic 5 s:fi'''b'helan Douglas & Okanogan Counties. P.O. Box 254, Bridgeport Bus. Lic. # DONCRC'066JE Pater0s First United Meth0dmt Church Sunday Worship 11 .' a.m. Children's Sormonde Chldren's Bible Study Fellowship Time 12.'00 a.m. 124 N. Dawson, Pateros (509) 923-2591 I I Sponsored by KOZI and the following: n (mamma dm-., a mnu mm )Im,f I WalHIN,,I .,r.w,.hm, I "ff0000iF ''''=' m CAFE and MOTEL "/ '"('*' = '''''=l' / 997-4671 1020 Hwy, 1$-11, WA gIISl Semice, Oueflty & Fair Value FEATURED ON YOUR , WHITE & GREEN PHONE BOOK COVER just been fun to see die children's eyes when they see them." They were not Kitzel's only Christmas project. Her son-in-law's parents are woodcarvers, and taught Kitzeltocarve recently; she ,made some animals ,for the Noah's Ark set owned.by her grandson RileyWalker. All yearround she crochets and sews craft items; her velour teddy bears are hand sewn. "I give them away practically as soon as I make them." She said she found the pattern for the paper stars in a craft magazine a few years ago and tried to make them, but the instructions were "scrambled" and defeated even a careful and meticulous crafter like Nancy Kitzel. She put the magazine "It's just been fun to see the children's eyes when they see them," - Nancy Kitzel aside,"in mycraft stuff. Every once in a while I would come by it and try it again." She said she didn't take the time to work out the instructions, because she had other things to do---until the winter of 1996-97. The huge piles of snow kept her confined to the house; she did lots of crocheting and sewing and crafting, even learned to play the accordion. There was still time to fill. "Because of all that time, I was pulling out old projects and working on them," she said. She found the magazine with the origami instnmtions and spent "time, patience and lots of paper" dstermining the proper sequence. Origami involves cutting and folding paper; success is dependent on the right sequence of cuts and folds. ATTORNEYS AT LAW .,,o.sso, Come visit our seminars at Ag Expo TOPICS: ,/"Nursing Home: Effective planning for Farm Families in an Ever-changing political climate." ' "Estate Planning Opportunities for Farmers Under the 1997 Estate Tax Law." ,/"Can Today's Farmer Afford Not to Incorporate?" ,/"How to Prop.erly Transition Into & Out of the Family Farm Operation." ,/"The Business Lifecycle of the Family Farm - An Overview from Beginning to End." Consult your Ag Expo guide for dates and times, or call us at 509-725-3101 I DAVENPORT ODESSA RITZVILLE SPOKANE ST. JOHN [ 529 Morgan st., P.O. Box 249, Davenport, WA. 99122 Fax 509-725-5854 i i "One fold throws the whole thing off." She experimented with different kinds and sizes of paper. Brown grocery bags from Brewster IGA or 7th Street Market are good practice paper. A sheet of legal (8 1/2 by 14 inches) size copy paper is durable, the proper length, "and you can get that in pretty colors." Letter size paper is too short for the last fold. "You get almost done and you chuck it; That isn't any fun. But you learned a lesson." Actually, Kitzelsaid the procedure is simple, "once you get going on it." The only materials needed are paper strips and a pair of scissors. "I have found that a crochet hook and a pair of tweezers are good companions to my scissors." She made two baskets of little stars before Christmas. Most of them are gone, used as Christmas decorations or given as presents; "sparkling stars to share with friends" and family. "It's been fun." Ouad City. Harald January. 8. 1998 Large number of birds fly and habitat the Quad City area A flock of devoted Quad City bird watchers spent Saturday, December 20 counting ducks and geese, robins and sparrows, blackbirds and juncos and birds of all kinds. The second annual Christmas Bird Count drew 15 birders from the local area as well as participants from Chelan, Coulee Dam, Wenatchee and Sealtle. The local bird count was part of the nationwide effort sponsored for many years by the NationalAudubon Society. The participants counted birds in a 15-mile diameter circle, centered on Dry Creek west of Bridgeport. Fifteen new species were added to the list of birds sighted, with a total of about 22,000 birds counted. "Much milder weath helped the teams cover territory they were unable to reach last year due to snow," said Meridith Spencer, one of the participants. Thebirdwatchers saw moreAmerican Coots than any other bird, with a total of 5,307a lot of coots, but less than half of last year's total. The group counted 3,242 American Wigeons, 3,081 Mallard ducks, 1,822 Ring-Neck Ducks and 1,294 European Starlings. Canada Geese,American Robins, Dark- eyed Juncos, House Sparrows and the Paga 5 Red-Winged Blackbirds also were counted in large numbers. Unusual birds sighted included Mountain Bluebirds,Yeliow-Rumped Warblers, White-Throated Sparrows, three species of owls and three species of wrens. Participants counted many more mallards and robins, but fewer Bald Eagles and Bohemian Waxwings. There were no Golden Eagles. In their second season of bird counting the Quad City participants set many (53) records for quantities of specific species. The most notable of the records set were for Common Loons, Great Blue Herons, Canvasback Ducks, Hooded Mergansers, Red-Tailed Hawks, Great HomedOwls, Northern Flickers, Belted Kingfishers, Northern Shrikes, White-Crowned Sparrows and American Goldfinches. "The success of this year's count was largely due to the hard work and experience of the participants," Spencer said. "Numerous local landowners also aided the survey by allowing the bird watchers to search their im3petly,"and the organizers and participants were grateful for that cooperation, she said. Childbirth classes scheduled at Brewster hospital The first in a series of childbirth classes for expectant mothers and their families will begin Wednesday, January 14 in the conference room at Okanogan Douglas Hospital. The first series will be held each Wednesday through February I1; all classes will be from 7:30 to 9 p.m. The first series will be taught in English. Two additional sets of English- language classes will follow. They will be each Wednesday between March 25 and April 22 and June 3 to July 1. Three series of Spanish-language classes are scheduled for February 18 through March 4,April 29 through May 13 and July 8 through 22. They are the only Spanish-language group childbirth classes scheduled in Okanogan County, said Sheryl Smith, the instructor. The cost for each series is $40. When the baby is due is the determining factor in choosing a class, Smith said; ideally, the morn tobe should start taking classes about two months before her due date, or as close to that time as possible. Smith said the classes cover a variety of topics, all of it designed to help a woman know whaf will happen during the process of childbirth. There is a review of the stages of labor and what happens to the body during a normal delivery. Smith said she talks about the reasons labor hurts and ways to lessen that pain. ,In fact the process of childbirth can be eased with a number of therapies, some new, some traditional, Smith said. There are special birthing beds that adjust to a number of different positions, back rubs, warm water, hot and cold therapy and other techniques; mothers also have the option of using pain blocking medications. Smith said it is a good idea for the expectant mother to bring a partner or partners--family members or friends--to the birthing classes. Ideally, the partners should be people who will be with the mother during labor, but more than one person can attend the classes. (Smith said one of her patients in an earlier class brought her husband and her room.) The classes also include a discussion of what happens to morn, family and baby after birth. Smith said some class material addresses the potential problems and their treatments. Women who want to sign up for any of the classes can contact Main Street Health Associates in Brewster. "Your Ticket to Great Sports" A Sports Production Listen to Play-by-Play Action of High School Basketball Okanogan/Douglas Dist. Hospital Ag Supply Company Brewster IGA Triangle Texaco Quad City Herald Chief Joseph Dam The Pharmacy Boesel Motors Harmony House Carter Excavation Mill Bay Casino BTO Construction Something Special Gift Shop Community Medical Center l(OZl Molkjers Food City Bridgeport True Value Webster Furniture Mumma Trucking The Quik-E-Mart Brewster Veterinary Clinic W/f Brewster Car Care Kevin's Collision Repair Twisp Antique Emporium JA's & The Carlton Restaurant Lake Chelan Physical Therapy Pristine Environmental Products North Cascades National Bank Gross Drug Erlandsen & Associates, Inc. III II I IIIIIIIII II II I III I I I III I III