Nursing - Dignity Health

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INSIDE THIS
ISSUE:
CNE Message
3
New Grad
Program
4
Meet New Grad
Brandie Herbert
of Oncology
5
What do you do?
7
Melinda Ryan RN
of the ICU
9
Nursery RN
Ruth Elkins
11
Cynthia
Anderson, RNC
12
Home Health &
Hospice
13
What is Caring?
14
Caring
M AR I L Y N G ER RI OR
R N , M S N
C HIE F N URSE E XECUT IV E
Dear Nursing Colleagues,
Welcome to our second edition of MSJMC Nurse. This edition features our nurses working as
caregivers in both traditional roles and non traditional roles. To be an effective caregiver, we
need to be refreshed each day. In this edition you will see how our nurses refresh themselves by
balancing the pressures of work life with activities and hobbies at home.
...circumstances create
the opportunity for us as
caregivers to
help them in a
compassionate, heartfelt
manner.
Care giving often involves an intimate and heartfelt exchange with our patients, their families and
other clients. These people are deeply vulnerable when they come to us for help while sick or
injured. This help maybe needed for everything from childbirth to cancer or results of trauma.
These circumstances create the opportunity for us as caregivers to help them in a compassionate,
heartfelt manner. I am proud to say that many of you fill this need every day. I know this by the
many letters of gratitude I receive from patients and families.
I want to share with you just a few quotes I have taken from patient and family thank you letters
that demonstrate caring behaviors. “What I really want to recognize is that he went out of his
way to learn and remember as many of the family’s names as he could and even when not assigned to my mom he would still greet us by name and take a couple of minutes to check in with
us.” And from a second family, “I want to commend your staff for their constant care and true
compassion in caring for my mom. Even when the nurses and NA’s did not have to care for her
on a certain day they would stop in to say hi to my mom and ask how she was doing.” Thirdly,
“He is a very conscientious and caring. He goes one step beyond to insure the total well being of
his patients.”
These are just a few examples of descriptions of caring behaviors from the patient’s perspective.
How do our patients know that we truly care about them? It is a special softness in our eyes and
a gentle touch, as well as the attention we give them. These behaviors are gifts to our patients
that are so in need. You will be hearing more this year about caring behaviors through the introduction of caring competencies. It is these caring behaviors that make a difference to patients.
Thank you for sharing your compassion by greeting each baby’s first cry and holding hands at to
the last goodbye.
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From Classroom to Bedside
New Graduate
Nurse Program at
MSJMC
Susan Riordan, RN, MS,
CNS
A
new- graduate
nurse orientation program
has been developed at
MSJMC with the goal of
providing a nurturing, enriching environment for
new RNs not only so that
they can safely and effectively care for patients independently at the end of
the twelve week course,
but to enhance MSJMC’s
ability to recruit and retain new nurses and to foster continuing development and education for
these new employees.
Since the programs inception in July of 2006, three
groups of new RNs have
completed the program.
The number of applicants
for the program has
grown exponentially.
Over 150 new RN graduates applied for six positions in the July 2007 New
Graduate program.
The didactic course
work includes lectures and
Case Studies. The Clinical
with ease
experiences are primarily
on the unit of hire with a
preceptor, but also include
observations of specialty
specific procedures (OR,
Imaging, HBO etc). A key
to the success of the program is the support and
mentorship provided by
the unit nurse preceptors. You may
have noticed on
your unit that the
preceptor and new
graduate share one
Patient assignment
for the entire
twelve weeks. This
is to support the
preceptor in being
able to devote the
time to mentoring
the new nurse
Here are some comments
from recent participants:
“Being a new grad at
Mercy San Juan, you have
a built-in support system.
It’s important to know
what resources are available to you. ”
“It’s a wonderful program
and the preceptors are
excellent teachers and
mentors”.
“Having a lighter patient
load while I’m precepting,
allows me to devote the
time necessary to really
help the new graduate
learn in a non-threatening
setting.”
Please welcome the
new graduate RNs that
will be hired for the January 2008 program. If you
are interested being a preceptor, discuss it with your
manager and get enrolled
in a Preceptor class
through SLD.
4
PAGE
5
Frog helps student
Brandy Herbert
Brandie Herbert, RN
“I was so
intrigued by
medicine at that
time, I just knew
I had made the
right decision.”
loves her job as a new
graduate in the Oncology Unit. She is
bright, energetic and
passionate about nursing. Graduating in December, 2006 from
Yuba College, Brandy
was one of eight new
graduates coming to
Mercy San Juan Medical Center. She completed a twelve week
new graduate program,
lead by Susan Riordan,
Clinical Nurse Specialist. Brandy said,
“Before the program
was finished, I felt
completely comfortable on the floor by
myself. I really liked
the clinical experience
I received by working
alongside an experienced nurse”.
into nursing!
During college, Brandy worked as a waitress
with a good friend who was finishing up nursing
school. Brandy listened to her friend’s stories and
was amazed at how close she became with the patients she cared for and what a difference she made
in their lives. Brandy thought about how much she
loved interactions with people and made the decision
that nursing would be a great career. She wasn’t
sure she could get through the “harsh” science
classes required for nursing. Much to her surprise,
she was fascinated by her anatomy and physiology
class and flew through six hour lecture and lab sessions. Brandy still remembers attending a lab in
physiology where she stopped a frog’s heart with
medication, massaged it, and gave more medication
to make it start pumping again. She said, “I was so
intrigued by medicine at that time, I just knew I had
made the right decision.”
Challenges are not lacking in Brandy’s job in
the Oncology Unit. She describes a very fast- paced
environment where “Sometimes it seems as though
there are ships unloading hundreds of people into the
ER, just waiting to get beds on the floors. When I
get one new patient settled, I realize I am getting my
second admission. My three other patients need pain
medication. There is always so much to do!” In
spite of the never ending patient care needs, Brandy
does not let this keep her from making every patient
and their family feel special. One patient’s wife
said, “Brandy has been so wonderful. She made
things better for my husband by being persistent in
making sure he received what he needed. I am so
grateful”.
Brandy is learning and growing in her ability to
care for cancer patients with very specific needs.
She appreciates the team spirit in her unit and the
help her co-workers provide. Brandy says, “I enjoy
all of the people I work with and go to work daily
knowing that if I ever need help with a patient, I can
MSJMC
NURSE
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6
New Graduate – Brandie Herbert RN
When asked what one of the most meaningful experiences was since she
has worked in the Oncology Unit, Brandy said, “a very special patient and his
family who I will never forget”. She described caring for a man recently diagnosed with liver cancer. Over the period of a few days, his health rapidly declined. Brandy was struck by how supportive, close and loving his wife and
grown children were. Many times, Brandy could think of nothing else to do for
look to either side of me
and have all the support I a grieving, weeping wife, but to give her a hug. Thinking of this patient, she
need.” She is gaining ex- said, “It was then that I witnessed one of the saddest moments of my life. I
perience in how to manage had just experienced one of the first deaths of my career and saw the devastathe complex care of these tion that it can bring to such a close family. I cried with
patients. Beverly Nichol- the family, and gave many hugs”. The family thanked
Brandy for all of her loving care and support of their
son, Clinical Nurse Speloved one and themselves and told her how much she
cialist in the Oncology
had helped them through their grief.
Unit states, “I am impressed with Brandy’s enBrandy’s future goals include pursuing her educathusiasm to provide the
very best care she can and tion, obtaining a masters degree and
becoming a nurse practitioner. She also
meet her patient’s needs.
She is a great patient advo- plans to continue making a strong im- Article by:
pact on patients’ lives and their famicate and has a caring apPaula Rapetti BSN, RN, MOAM
lies. There is absolutely no doubt that
proach to her patients”.
Brandy will do just that.
Nursing at Mercy
San Juan Medical Center
involves not only being a
good clinician, but exhibiting caring behaviors to
patients. This fits perfectly with what qualities
Brandy thinks are essential
for a great nurse to possess: a personality that
shows caring and compassion to patients and the
desire to continually seek
knowledge, no matter
where you are in your career.
Web sites for Nurses
American Academy of Ambulatory
Care Nursing
www.aaacn.org/
American Radiological Nurses Association www.arna.net
Home Healthcare Nurses Association www.hhna.org
Seek opportunities
to “grow” in your
nursing career
National Association of Neonatal
Nurses www.nann.org
American Association of Neuroscience Nurses www.aann.org
American Organization of Nurse
Executives www.aone.org
Hospice & Palliative Nurses Association www.hpna.org
American Nurses
Infusion Nurses Society
www.ins1.org
www.nursingworld.org/ancc/
magnet
Credentialing Center
A BALANCE OF WORK AND PLAY
R H O N D A
T I N T I R N ,
S U R G I C A L
U N I T
L A U R A
E N G L A N D
R N ,
A M A T E U R
P H O T O G R A P H E R
C A R D I A C T E L E
E Q U E S T R I A N
Lori Cashio, Leslie Lyda & John Bressan @ the
25th California International Marathon.
S ARA
C UR REL
RN ,
M OT HER OF TWI NS AND
PH OT OG RAP HE R , RSP
A BALANCE OF WORK AND PLAY
T H E Y
J A N E L E A D M A N
Q U I L T E R
R N ,
C A T H
L A B
W I N
A W A R D S !
K RI S TIN A F RE A S B SN ,
RN, MICN, MICP
& DINA NASUI RN
F L Y I N G S A M A R I T A N
P A U L I N E R O C C U C C I ,
M A R A T H O N
R U N N E R S
F R O M
O R
S H A R O N C R A I G R N , C A R O L I N E G R E E N B E R G
R N , K E L L I M A X S O N R N , P A T S Y T I M M R N A N D
P A T T Y R O S S E R R N
R N
R S P
PAGE
9
From California to Cameroon
Article by:
Melinda Ryan RN
“The team’s
purpose was to
install a computer
network at the
remote locale,
provide nursing
training, and lead
a day camp for
AIDS orphans.”
MSJMC
NURSE
The entire
room brightened as
lightning lit up the
dark, drizzly morning
accompanied by a
monstrous clap of
thunder. I was immediately on my feet,
pushing aside the mosquito net draped over
my bed. Who needs
alarm clocks when
there’s an African
tropical storm overhead? It was 5:30 a.m.,
the start of another day
of adventures as a
nurse in Cameroon,
West Africa.
clean water is a coveted
commodity and the
AIDS pandemic threatens to wipe out entire
generations. So many
new sights, sounds, and
smells: Abundant mangos, papayas, and Cameroonian cuisine fufu
and njamma-jamma;
traffic jams of motor
scooters, cattle and
goats; street vendors
offering “bush
beef” (rats for human
consumption). A place
where public toilets are
a luxury and commonly
consist of a simple hole
in the ground while enBlinking the
trepreneurs are happy
sleep from my eyes, I
to sell squares of toilet
had to marvel at how
the God of the universe paper to travelers for a
could use little ole me mere 50 francs (10
cents American curfrom Sacramento to
teach nursing students rency).
at a remote African
What brought
hospital, some 54 flight me to Cameroon, a huhours away from
mid mosquito’s parahome! Here I was in a dise that rarely makes
mysterious land where headlines nor is considered a vacation
destination? In
April 2007, I
joined an 18member mission
team co-sponsored
by my church,
Sunrise Community in Fair Oaks,
and First Covenant
in Rancho Cordova. The team’s
purpose was to install a computer
network at the remote
locale, provide nursing
training, and lead a day
camp for AIDS orphans. Team members
represented varied ages
and sectors of life:
Computer experts,
healthcare professionals, a political lobbyist,
an architect, a contractor, teachers and students. We all shared
the common goal to
reach across cultural
borders to demonstrate
Jesus Christ’s love and
message of hope.
This was my
second trek to Cameroon, a beautiful, lushly
green but impoverished
country about the size
of California. It is a
peaceful nation on the
Atlantic Ocean that
neighbors Nigeria. In
2004, I joined a medical mission team to
Mutengene where we
taught HIV/AIDS education. While I had acquired head knowledge
of the AIDS situation
there, it wasn’t until I
put names and faces to
the epidemic that I
truly understood the
magnitude of the problem. These were real
people with real families and hope for a future just like me.
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10
Caring in Cameroon
Compassion
swelled within me as I
heard story after story of
women who had been disowned by their families
after their HIV diagnosis.
In response I deviated
from the technical aspect
of my teaching and incorporated the importance of
human touch. Just a simple
hug, or even a smile, has
the power to change someone’s perspective from
despair to hope. Indeed
showing care and compassion are universal and transcend any cultural boundaries.
Working in a
health clinic opened my
eyes to the daily challenges encountered by
these gracious people. Malaria is rampant as are skin
and gastrointestinal diseases. I recall the elation
of a young bride-to-be
who received a certificate
to present to her fiancé
declaring her HIV-free. I
am haunted by the anguish
of one young mother
whose 2-year-old son suffers from the pain of sickle
cell anemia. The child was in obvious discomfort, the sparkle
in his eyes dulled by the burden of chronic pain. He was a
regular at the clinic, it was explained to me by the African
nurse I was working alongside, but unfortunately the medical
costs for proper treatment were more than his mother could
afford. I felt helpless but at that moment, I remembered the
2,000 Cameroonian francs (roughly $4 American) I was carrying in my pocket for souvenir shopping. As I handed it
over to the young mother, she took my hands in hers and
kissed them as we both burst into tears.
As the lone nurse on this year’s journey, I acted as
team medic. This assignment presented its share of challenges as I reminded my teammates to faithfully take their
anti-malarial medications and lather themselves with
DEET. Nevertheless, one of my teammates was bitten by an
exotic insect called a creechie, on the back of his right leg.
As his calf began to swell and temperature rose to 104 degrees, I sought the expertise of the bush hospital doctors
who quickly diagnosed his infection. An expensive, rarelyused antibiotic was needed, but it had to be specially transported from many miles away. It turned out to be our common Rocephin. The patient thankfully responded rapidly to
the treatment, but was advised to catch an earlier flight back
to the United States for follow-up. This reminded us all how
far away from the comforts and conveniences of home we
truly were.
My primary job this year was to spend
a week teaching basic CPR and fluid/
electrolyte balance to 32 nursing students at
Banso Baptist Hospital, a modest 250-bed facility in Kumbo, Cameroon. This special invitation was issued by a missionary RN to Cameroon for 37 years who I first met 20 years
ago. Kathy Kroll, administrator of the Cameroon Baptist Convention Private School for
Health Personnel, had expressed frustration
with the lack of supplies and resources and a
need for additional training for her students.
Admission into the two-year nursing program
is competitive as medical training is a valued
ticket out of a cycle of poverty in the predominantly agricultural community.
(story continued on page 15)
“one of my
teammates
was bitten
by an exotic
insect called
a creechie”
“medical training is a valued ticket
out of a cycle of poverty ”
PAGE
It’s all about touch
11
Ruth Elkins is a
second
career
nurse.
Her first
career
was working with
Ruth Elkins RN babies as
a preschool
teacher
and then she later received her degree in
“Ruth has gone
elementary education.
She became a nurse in
from teaching
1985 and naturally
gravitated to the nurschildren to
ery. She came to the
Mercy system as a
travel RN and knew
that this is where she
wanted to stay. Ruth is
the chairperson of the
Family-Centered Maternity Care Committee. She is instrumental in the implementation of our "skin to
skin" breastfeeding
project. The premise
of this model is that as
soon as possible after
delivery; the newborn
is dried off and then
placed directly onto the
mother's exposed chest
and covered with warm
blankets.
This type of care requires "High Touch
Nursing Care". Studies
have shown that the
nurses attitude towards
breastfeeding directly
relates to the mother's
breastfeeding outcomes. The nursing
staff is attending 16
hours of education on
breastfeeding and the
benefits of skin to skin
care.
teaching new
moms how to
Behind the Skin to Skin Model
care for their
newborns.”
The premise of this model is that as soon as possible after delivery; the
newborn is dried off and then placed directly onto the mother's exposed
chest and covered with warm blankets. The premise of this model is that as
soon as possible after delivery; the newborn is dried off and then placed
directly onto the mother's exposed chest and covered with warm blankets.
Skin to skin care:
•
Improves thermoregulation
•
Improves respiratory status (better oxygen
saturation, decreased apnea and bradycardia).
•
Improves blood glucose levels
•
Improves breastfeeding ( increased milk production
accelerated weight gain, longer duration)
•
Reduces stress
•
Reduces crying
•
Improves bonding with mother
Articles by:
Beth Hennessy MSN, RN
MSJMC
NURSE
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Compassionate Care within the NICU
When it comes to compassion, Cynthia
Anderson RNC, Neonatal Intensive Care
nurse, clearly shows this level of care daily.
She has been with CHW since 1983 and is
one of the founding NICU nurses opening
the unit in 1988. In Fred Lee’s book, If Disney Ran Your Hospital, Fred writes about the
words most used by patients to describe the
best of nursing care. Words most often used
are caring, kindness, compassion, helpfulness, and comforting. These very words
have described Cynthia’s contributions to
both her patients and colleagues. She has not
missed an opportunity to watch the NICU
graduates grow by attending the annual
NICU reunion.
As a great advocate for infants and their
families during her shift, she is an active
member of the Regional NICU Developmental team when off shift. She enjoys photography in her off duty time and is much more
comfortable behind the camera than in front
of it.
Cynthia's most recent project involves creating clay
molds of fetal demise babies for families as a keepsake.
With her gifts and talents she discovered a method to
make a mold of the baby's body, allow the mold to dry,
and place it in a nice memory box for the family to take
home. Cynthia's compassionate and caring nature has
given the family a special keepsake to help them heal
through the loss of their infant. She has received many
compliments and praise from families who appreciate
their keepsake from the hands and heart of their infant’s
nurse. Cynthia has trained other NICU staff members to
carry on this project so that any family that experiences a
loss can have a mold made of their baby.
Cynthia's compassion for her
work and the commitment to the
babies she cares for is evident in
her work on the unit. She is an
asset to the unit and the families
she cares for.
Article by:
Susan Ozanne-Warm MSN, RN
MyFreeCE - Have you gotten yours?
MyFreeCE is just that: FREE. Access is
through the CHW Connect portal. Simply
sign on by clicking on the link: http://
www.chwconnect.org/portal/chw/clinician or
type this into the address line and click GO.
Log on using your network log-on name and
password. From here select training and
development tab. This brings you to a
page containing continuing education options, one of which is MyFreeCE. Enter your member information as prompted and browse the
available course by subject area.
You can find a pictorial guide to these instructions inside the
course book distributed through Strategic Learning Development.
Nursing is Life-long Learning
PAGE
Caring brought to your home
13
Home Health and
Hospice Nurses take
caring on the road….
“It’s difficult to
thank you
Home care nurses enter their patients’ lives at critical moments, caring for the patients in their home,
working to help the patient meet
their individual goals. This is true
whether they are providing home
health care assisting patients reach
their maximal potential or a hospice
nurse focusing on easing the patient’s dying process by managing
distressing symptoms such as pain
or easing the physical and psychological burdens families face losing
their loved ones. Every home care
nurse knows they are a “guest” in
their patient’s homes, and as such to
be successful, respect, compassion,
flexibility, and listening are critical
skills needed to reach their patient’s
healthcare goals.
enough times
for the
wonderful
service I
received.”
These essential caring behaviors are
no better exemplified than through
the letters we get from our patients
describing the care they received.
Sharing some of these letters demonstrates the impact homecare/
hospice nurses have on the patients
and the families they serve.
“Yesterday, my mother was discharged from your service. I would
be grossly negligent if I did not
send you a letter
of commendation. We received
such excellent
services…I cannot thank you
enough. Arlene,
our nurse, was so
through and com-
MSJMC
NURSE
passionate and kind and an excellent
instructor. She demonstrates patience and TLC even after so many
years performing what I’d consider
a stressful job having to drive across
town and tailor the care for each patient assigned. The entire team
made a good and lasting impression
upon me and relieved much of the
stress and anxiety I had in taking
care of my mother. It’s difficult to
thank you enough times for the
wonderful service I received.”
“Ginny, thank you and all the other
hospice nurses who cared for my
aunt during the last months of her
life. We couldn’t have made it
through her illness without your
support, expertise and caring. Not
having any kind of health care training myself, I depended on the wisdom and advice you all gave. My
hat is off to all of you who extend
yourselves to strangers, doing some
of the hard jobs that not everyone is
willing to do.”
And another: “You came into our
lives in a time of true need. Mom’s
last month was difficult and with
your help she was comfortable as
possible. I have been in healthcare
for over 20 years and my opinion of
your care is not only personal but
professional as well. Many people
have jobs to do and they do them
perfectly well. Others take their job
and put their heart into it and it
shows. Whenever your office was
contacted, things happened. Someone was always available day or
night.” “Your advice and help was
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14
How do they care? Let me count the ways...
How is our pa-
“If you want
others to be
happy, practice
compassion. If
you want to be
happy, practice
compassion.”
~ Dalai Lama
tient’s know we
care about them?
The best way to
get that answer
was to go to the
bedside. To all
three patients it
was something different, but
equally telling of the essence
of nursing—caring. The first
patient without hesitation
said, ” He listened to me, to
what I needed.” The next patient knew instantly that both
his nurses unequivocally
cared for him; one be being
“straight with me’, and the
other “just knew, that even
at my age, what I needed
was for someone to hold my
hand.”
As the morning of
Jean Watson wrote,
“There is great logic in
meeting both the expectations of patients, groups,
and the public as well as
future nurses, employers,
and hospital systems with
greeting and inquiring of
patients continued, a
woman shared that her
daughter had not been
allowed to leave work to
be with her when the
physician came to tell
them her test results.
She listened as the rea foundational theory of
sults of her new cancer diagnursing that spans all
nosis were shared with her
points of contact to prodaughter over the phone. “I
mote well-being. To care,
came back from tests and
to demonstrate caring that
was just numb. She saw and
promotes healing of body,
knew. She just held me”.
mind and soul is attainable
The patient went on to share
through a supported theothat when her family wasn’t
retical framework.”
able to be here, without hesitation, her nurse was.
Article above by: Teresa
Whitfield B.S.N., R.N.
Caring brought home (cont.)
exceptional and enabled me to get through those difficult days.”
Lastly even after time has gone by since service was provided
we hear…”It would not be expected of your staff to remember a
cardiac patient you cared for almost a year ago, but I’ll never forget
your expert, kind patient care and instruction.” Recurring themes
of expert, personalized, compassionate care
that make a difference in the lives of our pa“I’ll never forget your expert,
tients where it matters most, at home.
kind patient care “
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15
Caring in Cameroon
Upon graduation,
the new nurses are qualified to work at any of the
three hospitals and 42
community health clinics
run by the Cameroon Baptist Convention. They are
not licensed RN’s or
LVN’s, however, and
would be the equivalent of
a highly-skilled and
trained nursing assistant if
they were to immigrate to
ken window, I marveled at
smiles
the challenging conditions
greeted me
under which the health-
everywhere I
care personnel worked.
went.
While the hospital has embraced many Western
medical techniques, elec-
While I had traveled to
tricity and running water
Cameroon with the intent of
are unreliable. Common
teaching others, the experience
was an invaluable learning oppor-
Yet for all
tunity for me. I discovered that
the human
the courage of the human spirit
misery these
can prevail over the frailty of the
crowded
human condition. I found out that rooms
while we are seemingly worlds
represented,
apart, we have more in common
generous
with our African brothers and sis- smiles
ters than we have differences.
greeted me
Everyone needs a kind smile or
shoulder to lean on. I learned to
be thankful for everyday things
supplies such as latex
like clean water, electricity, latex
gloves are a precious com-
gloves, and yes, flushing toilets.
lizards darted across my
modity and are washed
Perhaps most profound, I discov-
path as I carefully made
and re-used time and
ered that one person – even me --
my way down the muddy
again. Working at the hos-
can make a difference if you’re
trail in the persistent rain
pital was in many ways
only willing to step out of your
to the classroom where I
like stepping back in his-
comfort zone and extend care and
would be teaching. Gazing
tory. Nurses in their crisp
compassion to people you have
out the classroom’s bro-
white uniform dresses and
yet to meet.
the United States.
Brightly-colored
everywhere I
went.
“Love and kindness are never
wasted. They always make a difference. They
bless the one who receives them, and they bless
you, the giver.”
— Barbara de Angelis
MSJMC NURSE
Editorial Board
Sara Clements MSN, RN
Ronni Cline BSN, RN
Marilyn Gerrior MSN, RN
Beth Hennessy MSN, RN
Carole Mennell BSc, RN
Kimberly Muehlberg MSN, RN
Susan Ozanne-Warm MSN, RN
Joan Prudhomme BSN, RN, JD
Paula Rapetti BSN, RN, MOAM
Teresa Whitfield BSN, RN Editor-in-Chief
MSJMC DAISY Award Winners
2006 Recipients
Sharon Hansen
Cindy Anderson
In deep appreciation of all
you do, who you are, and
the incredibly meaningful
difference you make in the
2007 Recipients
Jennifer Deveza
Sheila Arahan
Susan Gandley
Dave Thomas
Dana Bentley
Elizabeth Dederko
Tracey Groninga
Jason Molina
Lori Bracamonte
Donna Chu
Nancy White
Dina Nasui
Mary Lou Trautman
Peggy Brisson
Pauline Roccucci
Eileen Poluk
Karen Coomler
Toni Powers
Colette Stoeckl
Ursula Vermeulen
The Healer’s Touch is
hand-carved by the Shona