indian hills community college · 2018-12-06 · ceh’s and contact hours for rhep sponsored...

January - June 2012

Indian Hills Community College

News Update and Course CatalogInside this Issue:RESTC DedicationNew Health Occupations Program DirectorsRemodeling Work Begins New Health Occupations Dept. Chair

Con. Ed. Article:Acid Reflux Diseases

For more newsletter articles, go to page 19.

Rural Emergency Services Training Center Dedicated

www.indianhills.edu/RHEP

What’s on the Cover?This quarter’s newsletter cover features live fire training at the newly dedicated Rural Emergency Servcies Training Center at the North IHCC campus.

The weather was perfect for the official dedication of Indian Hills’ Rural Emergency Services Training Center. Approximately 150 individuals listened to opening remarks by Indian Hills’ president Dr. Lindenmayer. Bill Menner, State Director for United States Department of Agriculture (USDA) Rural Development, Randy Novak, Bureau Chief for the Iowa Fire Service Training Bureau and Jim Clark, Chief of Police for the Ottumwa Police Department provided additional comments on the completion of the multi-functional facilty. Area Law Enforcement professionals provided a demonstration of how the facility can be used by law enforcement agencies for training. A rapelling demonstration showed one use of the tower section of the building and area Fire Fighters filled the building with simulated smoke and showed how fire frighters might training in the facility. A receeption followed at the North ATC cafe.

The RHEP Newsletter and Brochure will now be published only twice a year. Issues will run from January 1- June 30 and July 1 through December 31.

Course Catalog Index

Newsletter . . . . . . . . . . . . . . . . . . . . Pages 2, 23 - 24

General Information . . . . . . . . . . . . .

Acute Care, Emergency and . . . . . Page 4 - 7Specialty Certification Classes

General Classes, Conferences . . . . Page 8 - 9and Workshops

Senior Lunch & Learns . . . . . . . . . . Page 9

Fire Fighter Courses . . . . . . . . . . . . Page 10

EMS Courses & Transition . . . . . . . Page 10 - 13

Mandatory Reporter. . . . . . . . . . . . . Page 13

CNA & Short Term/Certificate . . . . . Page 14 - 15Programs

CPR & First Aid . . . . . . . . . . . . . . . . Page 16 - 17

Kids Programs . . . . . . . . . . . . . . . . . Page 17

Continuing Education Article . . . . . . Page 18 - 22

Page 31-800-726-2585, ext. 5281

General InformationContinuing Education:

CEH’s and contact hours for RHEP sponsored programs will be awarded based on actual presence and 100% attendance for the disciplines indicated in the course listing. Certificates will be awarded for proof of continuing education or contact hours. A fee of $5 will be charged for duplicate certificates.

Pre-registration:

Pre-registration is required for some classes and suggested for all as some classes may be cancelled if there is insufficient en-rollment.

To pre-register for any of the classes in this catalog, contact Vicki Derby at 1-800-726-2585, ext. 5281 or 641-683-5281 or email [email protected]

Payment:

Participants paying for courses themselves are expected to pay for the course at the time of pre-registration. Payment may be made via credit card over the phone or by mailing payment: RHEP, 655 Indian Hills Dr., Bldg #21, Ottumwa, IA 52501. When sending payment please include the course number, partici-pant’s name and social security number or student ID with the payment. If a third party or employer is paying for the course this may be prepaid to the college or indicated on the registra-tion form. The third party or employer will then be invoiced for the course costs. RHEP “Partner Pricing” discounts will be re-flected in the invoice. Please pre-register for all classes!

1-800-726-2585, ext. 5281

Indian Hills Community College provides equal educational and employment opportunities and does not illegally discriminate on the basis of age, race, creed, color, sex, sexual orientation, gender identity, marital status, national origin, religion or disability in its educational programs, activities or its employment and personnel policies. Inquiries or grievances related to this policy may be directed to Bonnie Campbell, Dean of Human Resources/Equity Coordinator, IHCC, 525 Grandview, Ottumwa, IA 52501

Services for Students with Disabilities: Individuals with disabilities who require accommodations or special services should contact the IHCC SUCCESS Center for assistance. Services are available to students who may need classroom accommodations, interpreters, and/or special-ized equipment. All student requests are dealt with in a confidential manner. Students should contact the Ottumwa SUCCESS Center by calling (800) 726-2585, ext. 5238. Centerville stu-dents should contact the Centerville Success Center at (800) 670-3641, ext. 2232. All students may contact the Dean of Academic Services at (800) 726-2585, ext. 5218.

Partner Pricing:

RHEP partners are eligible for a 15% discount on tuition of a course when the partner agency pays the participant tuition. Classes with a tuition fee of less than $40.00 are not eligible for partner pricing.

Courses held at the partner’s location are not eligible for partner pricing and mileage costs will apply.

Non-Residents:

Non-residents of Iowa are required to pay 1½ times the course tuition for continuing education courses when college credit is being awarded. Participants must have lived in Iowa 90 days and provide proof of residency to the IHCC Business Office to receive in-state tuition rates.

Refund Policy:

No refunds will be issued for cancellation made three days or less prior to an event. Individuals who pre-register for an event and do not cancel their registration or attend the class will be charged the course tuition.

Course Cancellations:

If a course is cancelled due to insufficient enrollment, attempts will be made to contact the registrant using the contact informa-tion provided when the participant registered for the course. If the class has been cancelled due to insufficient enrollment, the participant will receive a 100% refund of any course fees pre-paid.

Course cancellations/postponements due to weather conditions will be announced on local radio and television stations and will also be posted on the IHCC web-site.

Course Fliers:

For complete information on each course go to thewww.indianhills.edu/RHEP website and click on “Current Course Information.” Choose your professional area and locate the specific course listing. The course flier may be viewed on screen or printed for your convenience.

Acute Care, Emergency and Specialty Certification Classes

All classes within these sections requirepreregistration.

If there is not sufficient enrollment, the course will be canceled. If there is sufficient enrollment, participants will receive a letter approximately one week before the course outlining course re-quirements. Most courses require that the student obtain and read the course textbook prior to class. Books may be obtained from any source, but are available in the IHCC bookstore. Con-tact RHEP staff for current edition information if needed.

ACLS Prep Course

This class is designed to prepare the participant with minimal or no previous ACLS knowledge to successfully complete an ACLS course. The course will include an ECG dysrhythmia re-view, emergency drug pharmacology, ACLS science, electrical therapy, treatment algorithms, and an introduction to the ACLS team concept. Completion of the ACLS Prep course prior to ACLS is HIGHLY recommended.

When: Thursday, January 19, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory

therapy, 8.0 CEH’s for EMS (FE) Tuition: $68.00Course No.: 12/YR*REL*4615*700

When: Thursday, March 15, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory


When: Monday, May 7, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory


Advanced Cardiac Life Support (ACLS) Initial

This course is designed to provide the student with ad-vanced emergency cardiovascular knowledge and skills. Treat-ment protocols will be based on the current American Heart Association guidelines. Prerequisites: PS or EMT-P student or certification, RN licensure, eighth-term nursing student or Re-spiratory Therapist. Completion of the ACLS Prep course prior to this class is HIGHLY recommended for individuals who have not taken ACLS before. Students are required to obtain a cur-rent ACLS book for this course and are encouraged to obtain

an ECC handbook. Books are available in the IHCC bookstore. The online pre-test is required for admission to this course.

When: Wednesday & Thursday, Jan. 25-26, 2012 Tue. 8:00 a.m. - 4:30 p.m. (hour for lunch on your own) Wed. 8:00 a.m. - 11:30 a.m.

Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 12.5 Contact hours for nursing or respiratory

therapy, 10.0 CEH’s for EMS (FE) Tuition: $136.00Other Fee: $6.00 (Card)Course No.: 11/CW*EMS*810*700

When: Wednesday & Thurs., March 21-22, 2012 Wed. 8:00 a.m. - 4:30 p.m. (hour for lunch on your

own) Thur. 8:00 a.m. - 11:30 a.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 10.0 Contact hours for nursing or respiratory

therapy, 12.5 CEH’s for EMS (FE) Tuition: $136.00Other Fee: $6.00 (Card)Course No.: 12/CS*EMS*810*700

When: Monday & Tuesday, May 14-15, 2012 Mon. 8:00 a.m. - 4:30 p.m. (hour for lunch on your

own) Tue. 8:00 a.m. - 11:30 a.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 10.0 Contact hours for nursing or respiratory


ACLS Update (Renewal)

This course, based on the 2010 AHA science changes, is de-signed for individuals with current ACLS course completion. Participants must bring a copy of their card or proof of last course completion to the class. Students are required to obtain a current ACLS book for this course and are recommended to obtain an ECC handbook. Books are available in the IHCC bookstore. Completion of the online pre-test is required for admission to this course.

Individuals whose ACLS is not more than 6 months expired may take this course but must complete all testing without remedia-tion. If testing (hands-on and written) is not passed the first time no re-testing will not be allowed and the individuals must take the full provider course.

When: Monday, January 23, 2012 8:00 a.m. - 4:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory

therapy, 8.0 CEH’s for EMS (FE) Tuition: $68.00


With a minimum enrollment dependent upon the course, RHEP can bring most of the courses in this section to your facility. RHEP will take care of all paperwork, pro-vide the necessary equipment and instructors. Contact Lori Reeves for more information, 641-683-5337 or [email protected].

The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS and PALS, and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsor-ship by the American Heart Association, and any fees charged for such a course do not represent income to the Association.

Acute Care, Emergency and Speciality Certification Classes

Other Fee: $6.00 (Card)Course No.: 12/YR*REL*4504*704

When: Friday, March 2, 2012 8:00 a.m. - 4:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory

therapy, 8.0 CEH’s for EMS (FE) Tuition: $68.00Other Fee: $6.00 (Card)Course No.: 12/YR*REL*4504*705

When: Monday, March 19, 2012 8:00 a.m. - 4:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory


When: Thursday, May 3, 2012 8:00 a.m. - 4:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.0 Contact hours for nursing or respiratory


Advanced Cardiac Life Support (ACLS) Instructor Class

This course is designed for individuals wishing to become ACLS instructors. Students must have current AHA ACLS provider status, must become aligned with an AHA Training Center, must have an instructor recommendation from a Regional Faculty, Training Center Faculty or the course coordinator/lead instruc-tor from their last ACLS provider class and must complete the AHA Core Instructor Course prior to the ACLS Instructor class. Preregistration is required. Preregistration deadline: January 20,2012. Pre-course paperwork will be sent to preregistered participants.

When: Wednesday, February 1, 2012 8:00 a.m. - 3:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 6.0 Contact hours for nursing or respiratory

therapy, 6.0 CEH’s for EMS (FE) Tuition: $150.00, required ACLS Instructor Book-$42.00,

AHA Core Course DVD (if needed) -$25.00Other Fee: $6.00 (Card) Course No.: 12/YR*REL*4515 C01

Pediatric Advanced Life Support (PALS) Initial

This course, based on the 2010 AHA science changes, is de-signed to provide the student with the knowledge and skills nec-

essary to care for newborn and pediatric patients in emergency medical situations. This course is based on current American Heart Association guidelines. Prerequisite: Current EMT-P or PS certification, RN licensure, Respiratory Therapist, Paramed-ic or PS student, seventh - term nursing student. Students are required to obtain a current PALS book for this course and it’s recommended that they obtain an ECC handbook. Books are available in the IHCC bookstore. Completion of the pre-test is required for admission to this course.

When: Tuesday & Wed., February 21-22, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 17.0 Contact hours for nursing or respiratory

therapy, 17.0 CEH’s for EMS (FE) Tuition: $136.00Other Fee: $6.00 (Card)Course No.: 11/CW*EMS*815*701

When: Monday & Tuesday, April 9-10, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 17.0 Contact hours for nursing or respiratory


When: Tuesday & Wed., June 19-20, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 17.0 Contact hours for nursing or respiratory

therapy, 17.0 CEH’s for EMS (FE) Tuition: $136.00Other Fee: $6.00 (Card)Course No.: 12/CU*EMS*815*700

PALS Update (Renewal)

This course, based on the 2010 AHA science changes, is de-signed for individuals with current course completion of all PALS provider class. Students are required to obtain the current PALS book for this course and it is recommended that they obtain an ECC handbook. Books are available in the IHCC bookstore. Completion of the pre-test is required for admission to this course.

Individuals whose PALS is not more than 6 months expired may take this course but must complete all testing without remedia-tion. If testing (hands on and written) is not passed the first time no re-testing will be allowed and the individuals must take the full provider course.

When: Thursday, February 16, 2012 8:00 a.m. - 4:30 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.5 Contact hours for nursing or respiratory


When: Thursday, April 26, 2012 8:00 a.m. - 4:30 p.m. (hour for lunch on your own)

1-800-726-2585, ext. 5281

Participants must pre-register for allof these courses:

641-683-5281 or 1-800-726-2585, ext. 5281 [email protected]

Acute Care..., Cont.

When: Saturday, January 21, 2012 8:00 a.m. - 4:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 7.00 Contact hours for nursing, 7.0 CEH’s for EMS

(FE) Tuition: FREE*Course No.: 12 /YR*REL*4253*702

PHTLS Refresher

This course is designed for individuals who have completed a PHTLS course in the last 4 years. This course is based on the current National Association of Emergency Medical Technician’s (NAEMT’s) Prehospital Trauma Life Support (PHTLS) 7th edition curriculum.

When: Thursday, February 2, 2012 8:00 a.m. - 3:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 6.0 Contact hours for nursing or respiratory


Prehospital Trauma Life Support (PHTLS)

This course is designed to provide the student with the knowledge and skills necessary to care for patients in emergency trauma situations. The course is based on the current National Association of Emergency Medical Technician’s (NAEMT’s) Prehospital Trauma Life Support (PHTLS) 7th edition curriculum. Students are required to obtain a current PHTLS book for this course. Books are available in the IHCC bookstore. Prerequisite: Licensure as an EMS provider or nurse.

When: Friday & Saturday, April 27 & 28, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 16.0 Contact hours for nursing, 16.0 CEH’s for

EMS (FE) Tuition: $136.00 (plus student must obtain a current 7th

edition PHTLS text book)Other Fee: $15.00 (Card)Course No.: 12/CS*EMS*820*700

Trauma Nurse Core Course (TNCC)

This class is intended for RNs who work in an emergency room setting (at least 6 months of experience is recommended). Oth-er healthcare professionals may audit the course. The course covers the care of the trauma patient in the ER setting.

When: Tuesday & Wednesday May 22-23, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)


therapy, 16.0 CEH’s for EMS (FE) Tuition: $136.00 Book: $60.00Other Fee: $65.00 (ENA Surcharge)Course No.: 12/YR*REL*4260*703




When: Thursday, June 14, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 8.5 Contact hours for nursing or respiratory


Pediatric Advanced Life Support (PALS) Instructor Class

This course is designed for individuals wishing to become PALS instructors. Students must have current AHA PALS provider status, must become aligned with an AHA Training Center, must have an instructor recommendation from a Regional Faculty, Training Center Faculty or the course coordinator/lead instruc-tor from their last PALS provider class and must complete the AHA Core Instructor Course prior to the PALS Instructor class. Preregistration is required. Preregistration deadline: February 10, 2012. Pre-course paperwork will be sent to preregistered participants.

When: Monday, February 20, 2012 8:00 a.m. - 3:00 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 6.0 Contact hours for nursing or respiratory

therapy, 8.0 CEH’s for EMS (FE) Tuition: $150.00, required ACLS Instructor Book-$42.00,

AHA Core Course DVD (if needed) -$25.00Other Fee: $6.00 (Card) Course No.: 12/YR*REL*4519 C01

Pediatric Emergency Assessment and Resusci-tation (PEARS)

Pediatric Emergency Assessment and Resuscitation (PEARS) is an intermediate-level course from the American Heart Asso-ciation designed for health care providers who less frequently see critically ill children (than individuals who normally take a PALS class). The course is designed to prepare the learner to initiate and manage the first few minutes of a pediatric arrest or prevent the arrest of a pediatric victim at risk of cardiopulmonary distress. Course content covers pediatric assessment, recogni-tion and management of shock, respiratory and circulatory man-agement, resuscitation team concept and the Chain of Survival. PEARS is perfect for First Responders/EMRs, EMT’s, EMT-I’s, LPN’s and nurses who don not normally take PALS.

PEARS textbooks will be available for use during class at no additional charge. For participants who would like to purchase a PEARS textbook a $30 fee would apply.

*This course is co-sponsored by the Wapello County EMS Asso-ciation and the Rural Health Education Partnership and is being provided through grant funding received from the Iowa Dept. of Public Health, EMS Bureau, Emergency Medical Services for Children (EMS-C) Program. Enrollment is limited.

1-800-726-2585, ext. 5281

Management of Patients Across the Continuum (CCRN - Critical Care Nursing)The CCRN Series is tentatively being offered again for Spring 2012. A minimum of 5 students is required to hold these classes. For this reason please preregister by January 9, 2012 for this series. If the minimum number of students register for the series then indi-vidual classes will be available for continuing education by others.

This program has been developed by the Iowa Critical Care Nursing Education committee. The program is divided into modules designed for the healthcare professional who is taking care of patients in settings such as the emergency department, critical care unit, medical/surgical unit and home care. Participants may come to one or all classes depending upon their learning needs. The course will provide extensive handouts, up-to-date information and CH’s/CEH’s in a cost effective delivery system allowing usage of the best instructors from across the state.

Continuing Education has been approved for these classes for Nurses, Respiratory Therapists, Paramedics and Paramedic Specialists. Classes are worth either 3.5 or 7.0 Contact Hours or CEH’s. These classes meet criteria for Critical Care Paramedic continuing educa-tion.

All classes will be held in the Video conferencing and Teleconferencing Center (VCTC) - room CC7. The course number for all classes will be: 12/YR*REL*4013 plus the section number listed below. Site cancellations due to insufficient enrollment will be made by 3:00 p.m. on the Tuesday the week prior to the class date.

Section Date Time Mod # Course Title Cost718 Jan 17 8-4 1 Cardiac and Pulmonary Assessment $58719 Jan 24, 31, Feb 7, 14, 21 8-11:30 2 Cardiac Dysrhythmias $135720 Jan 24 12:30-4 3A Cardiac Physiology and Angina $32721 Jan 31 12:30-4 3B Myocardial Infarction $32722 Feb 7 12:30-4 4A Congestive Heart Failure $32723 Feb 14 12:30-4 4B Valve Disease & Pericarditis $32

724 Feb 21 12:30-4 10 Pacemakers $32

725 Feb 28 8-4 5 Shock $58726 Mar 6 8-4 17 Hemodynamics $58727 Mar 13 8-4 9 Mechanical Ventilation $58728 Mar 20 8-11:30 Hematology $32729 Mar 20 12:30-4 18 Acute Changes on 12-lead EKG $32730 Apr 3 8-4 Immune Disorders $58731 Apr10 8-4 19 I Advanced 12-Lead- Day I $75732 Apr 17 8-4 19 II Advanced 12- Lead- Day II $75733 Apr 24 8-11:30 Pediatric Assessment $32734 Apr 24 12:30-4 Pediatric Emergencies $32

Acute Care, Emergency and Specialty Certification Classes

Dates at a Glance:

ACLS Prep 1/19, 3/15, 5/7 ACLS 1/24-25, 3/21-22, 5/14-15ACLS Update 1/23, 3/2, 3/19, 5/3 ACLS Instructor 2/1PALS 2/21-22, 4/9-10, 6/19-20 PALS Update 2/16, 4/26, 6/14PALS Instructor 2/20 PEARS 1/21PHTLS Refresher 2/2 PHTLS 4/27-28TNCC 5/22-23

Wapello County EMS Continuing Education Saturday- Pediatrics

This program will offer various pediatric topics of interest to EMS providers. All content will satisfy requirements for formal (FE) EMS recertification credit. Specific speakers and topics are cur-

rently being arranged. Please check the RHEP website www.indianhills.edu/rhep for more information.

When: Saturday, February 4, 2012

See Page 10 for full program listing an additional information.


General Classes, Conferences & Workshops

Advance Wound Care and Hyperbaric Medicine

Please join us as Dr. Jason Willis, MD, CWS, shares his wealth of knowledge about new advancements and treatments in would care. Dr WIllis is Board Certified in Wound Care, Infectious Disease, Internal Medicine, Nuclear Cardiology and is Board eligible in Nuclear Medicine. Dr. Willis will discuss the growing field

of specialized wound care including systematic approaches and advanced treatments for wound healing. Hyperbaric Oxygen Therapy will also be covered. Although his depth of knowledge is vast, his easy going demeanor will make learning enjoyable and fun!

When: Thursday, February 2, 2012 12:00 p.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 110Credit: 3.0 Contact hours for nursing, respiratory therapy,

Social Work, Dept. Heads in LTC, Residential Care Administrators, Physical Therapists, Occupational Therapists, 3.0 CEH’s for EMS (FE) & Nursing Home Administrators Examiners

Tuition: $15.00 Course No.: 12/YR*REL*4991*703

Personal Safety for Healthcare Providers

Being a Victim is Not Part of the Job! In more than half of ALL workplace violence cases the victim is a health care provider! Nurses, social workers, EMS professionals, direct care workers, case managers and others who deliver care away from traditional settings or in a patient’s home are most at risk. In this program, Joe Rosner, nationally recognized expert on workplace violence and personal safety for healthcare and sales occupations will show participants how to be knowledgeable and prepared to protect themselves in unsafe situations.

When: Friday, March 30, 2012 9:00 a.m. - 12:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 3.0 Contact hours for nursing or respiratory

therapy, 3.0 CEH’s for EMS (OE) Tuition: $35.00 Course No.: 12/YR*REL*5200*700

IHCC Annual Diversity Conference

This year’s IHCC annual Diversity Conference, will be held April 13, 2011. This year’s conference will feature two keynote speakers. Matt Rolloff for television’s Little People, Big World, will share his story and lessons he has learned as well as strategies he has created to help meaningful success in a

world not accepting or accommodating to someone his size. Magdalen Hsu-li, a internationally acclaimed bi-sexual Chinese American singer-songwriter, painter, speaker, writer, and cultural activist.will present an interactive “human interest” lecture exploring the search for “cultural identity” through her personal story of an Asian American, woman growing up the rural south, overcoming obstacles such as racism, prejudice, stereotyping, homophobia, bi-phobia, filial piety, and a severe disability (Tourette’s Syndrome).

When: April 13, 2012 More information about additional sessions and speakers, times location and cost will be available on the IHCC website closer to the conference date.

Coaching Boys into Men, Coaching Girls into Women

When asked what it means to be a real man in today’s society, men and women invariably use the same words to describe masculinity. According to the thousands of people asked this question, real men are “tough, strong, aggressive, macho, providers, protectors, powerful, successful, in control, dominant, drive trucks, work construction, are the boss, and they most certainly NEVER cry.” It’s time for a paradigm shift. 1 in 3 girls and 1 in 6 boys are abused before they turn 18 in our country and more than 90% of all violence perpetrated is being done by men. In order to END violence, we must model for young men and boys how to be men that does not involve abusing and degrading women and girls. This program, presented by Josh M. Jasper, M.S.W., President/C.E.O Riverview Center, a Dubuque rape crisis center,. will illuminate the positive influence we all can make on the prevalence of violence in our community .

When: Friday, April 20, 2012 9:00 a.m. - 4:00 p.m. with an hour for lunch Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 6.0 Contact hours for nursing, 6.0 CEH’s for

EMS (OE) and Social Work, 5.0 Contact hours for Residential Care Administrators, 5.0 Contact hour certificate of attendance for all others

Tuition: $40.00 Lunch: $7.00- optional, you must indicate if you want

lunch at time of registration. Course No.: 12/YR*REL*4677*701

Pain Management in Complex Patients

Practitioners from every health care delivery setting will benefit from this seminar which will address pain management in

the complex patient from pediatric to geriatric with specific acute and chronic conditions as well as patients with chronic pain management protocols. The presenter, Joan Beard, RN-BC, MSN is Director of the Pain/Palliative Care/Sedation Team at Mercy Medical

Please check our website www.indianhills.edu/rhep for the most current listing of workshops and for more details on those listed below. For further information on the following courses contact Lori Reeves at 641-683-5337 or Sandy Berto at 641-683-5183 and for registra-tion call Vicki Ellis at 641-683-5281.

1-800-726-2585, ext. 5281

Senior Lunch & LearnsAlthough open to anyone, this series of Lunch & Learn classes will feature subjects of interest, related to health, specifically for our senior population. Re-licensure continuing education will not be offered for these courses. All Senior Lunch & Learn classes will be held in the back of the IHCC cafeteria in the Arts and Sciences Complex. Participants are encouraged to use the Grandview entrance and park on the belt drive adjacent to the library (former chapel) for the most convenient parking and shortest walk.

“A Vital Link- Lifeline” with Chuck Osing, Lifeline Services

When: Friday, January 13, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*706 “Wear Red to Honor Your Heart” with Leslie Heemsbergen, RN, BSN, MSN, ORHC Cardiac Rehab.

When: Friday, February 10, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*707

“The Eyes Have It- Vision Changes in the Mature Adult” with Dr. Jeffrey Collett, Heartland Eye Care Center

When: Friday, March 9, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*708

“Be Prepared- Planning for an Emergency” with Josh Stevens, Wapello County Emergency Mgmt & Mark Miller, Wapello Co. Deputy Sheriff

When: Friday, April 13, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*709

“All That Jazz- Wills, POAs & Adv. Directives” with Richard Gaumer, Attorney, Gaumer, Emanuel, Carpenter and Goldsmith PC

When: Friday, May 11, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*710

“Extra-Extra- Read All About It” with Cheryl Talbert, MA, Director of Library Services, IHCC

When: Friday, June 8, 2012 11:30 a.m. - 2:00 p.m. (lunch at 11:30 p.m.)Where: IHCC Ottumwa Campus, Food Service CafeteriaCost: $6.00 (includes lunch) Course No.: 12/YR*HEA*4200*711

General Classes, Cont.Center in Des Moines.

When: Friday, May 4, 2012 8:30 a.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 6.0 Contact hours for nursing, 6.0 CEH’s for EMS

(FE) Tuition: $60.00 (includes tuition, lunch, refreshments &

handouts)Course No.: 12/YR*REL*4007*700

Shoulder Specifics with Mario Castro

This workshop will cover the nomenclature of the shoulder including all of the S.I.T.S. muscles and their synergistic cooperatives. Participants will learn to use clinical reasoning skills that will help them become a better detective for their patients/clients. This class will provide a practical hands on experience that participants will be able to implement immediately. The class will be thought provoking, stimulating and fun!

When: Friday April 20, 2012, 5:30 p.m. - 9:30 p.m. Saturday April 21, 2012, 9:00 a.m. - 6:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 15Credit: 12.0 Contact hours for massage therapists,

occupational, and physical therapistsTuition: $215.00 Course No.: 12/YR*REL*4360*703

The Many Facets of Hoarding

This workshop will focus on the many facets of hoarding. In the morning, Nancee Blum, clinician, researcher and instructor at Univ. of Iowa, will focus on the signs, symptoms, diagnosis, and some aspects of treatment of the hoarder. “It’s not just messiness. The behavior causes significant stress or impairment in functioning. Hoarding was considered for years to be a manifestation of obsessive-compulsive disorder, but the psychiatric profession is revising its diagnostic manual to separate the two.” Do you wish you had some formal training on how to work with a hoarder? Have you ever met resistance from a chronically disorganized resident? The afternoon will feature professional organizer Becky Esker, CPO, President of Get Organized! L.L.C. Becky will focus on skill building for efficiently and effectively working with a hoarder and the chronically disorganized. When: Friday, June 1, 2012 9:00 a.m. - 4:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 6.0 Contact hours for nursing, 6.0 CEH’s for EMS

(OE) and social work, 6.0 contact hour certificate for all others

Tuition: $50.00 (includes tuition, lunch, refreshments & handouts)

Course No.: 12/YR*REL*4268*700


EMS Continuing Education CoursesWapello County EMS Continuing Education Saturday- Pediatrics

This program will offer various pediatric topics of interest to EMS providers. All content will satisfy requirements for for-mal (FE) EMS recertification credit. Spe-cific speakers and topics are currently being arranged. Please check the RHEP website www.indianhills.edu/rhep for more information.

*This conference is co-sponsored by the Wapello County EMS Association and the Rural Health Education Partnership and is being provided through grant funding received from the Iowa Dept. of Public Health, EMS Bureau, Emergency Medical Ser-vices for Children (EMS-C) Program.

When: Saturday, February 4, 2012 8:00 a.m. - 3:30 p.m. (hour for lunch on your own)Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 7.0 Contact hours for nursing, 7.0 CEH’s for EMS

(FE) Tuition: Free*Course No.: 12/YR*REL*4815*714

Fire Fighter Courses and Continuing Education

Fire Fighter I Fire Fighter II Pumper Driver/Operation

Indian Hills can offer any of the above three classes at local fire departments through the volunteer firefighter’s train-ing fund with no tuition charges to par-ticipants. Classes require a minimum of 12 students to qualify for use of the fund but participants from several departments may be grouped together to meet the minimum. Fire depart-ments are responsible for supplying the appropriate textbook which may be purchased from the FSTB at a discount. Fire de-partments may maintain books to use on a loan out basis rather than purchasing them every time a course is conducted.

Properly qualified* instructors from your department can be utilized to teach the course(s) or Indian Hills can provide an instructor acceptable to the department. (*Instructors must be certified at the level of course they are teaching and have com-pleted Fire Instructor training and must provide proof of both.)

Arrangements may be made with the FSTB to schedule certifi-cation testing at the end of the course (if desired).

For more information about these courses or to schedule a class contact Lori Reeves at (800) 726-2585, ext. 5337 or (641) 683-5337 or email [email protected].

Rural Emergency Services Training Center

The new Indian Hills Rural Emergency Services Training Center (RESTC) located at the North IHCC campus, is now open and available for training use. EMS, Fire Departments and Law Enforcement groups as well as private business/industry that

has specialized rescue teams may request use of the facility. Open enrollment classes, workshops and conferences will also soon be offered for fire fighters and law enforcement profession-als as well as inter-agency training involving EMS, fire and law enforcement jointly at the facility.

A training calendar may be viewed at: www.indianhills.edu/rhep and scroll down to “Rural Emergency Services Training Center. Click on “RESTC Scheduling Calendar”.

Please contact Lori Reeves at 641-683-5337 or email [email protected] for more information on how to sched-ule use of the facility or for more information on upcoming open enrollment classes.

IHCC Annual Regional Fire School

IHCC’s regional fire school will be held Saturday & Sunday, March 10-11, 2012. A separate fire school brochure will be sent to all Fire Departments in the IHCC district and will be available at www.indianhills.edu/RHEP after 12/15/2012.

For course descriptions and tuition information, please see the program brochure or go to www.indianhills.edu/RHEP after 12/15/11.

When: Saturday & Sunday, March 10-11, 2012

EMS Instructor Update

This update is required once each recertification period for EMS instructors who wish to maintain their instructor (T) endorse-ment.

When: Tuesday, March 6, 2012 7:00 p.m. - 9:00 p.m. Where: IHCC Ottumwa Campus, VCTCRoom: CC7Credit: 2.0 CEH’s for EMS (FE) Tuition: $5.00Course No.: 12/YR*HEA*3100*776

EMS Evaluator Workshop

This workshop is required for individuals who wish to become evaluators at EMS practical examination testing period. Current evaluators are not required to attend this class more than once.

When: Tuesday, March 20, 2012 7:00 p.m. - 9:00 p.m. Where: IHCC Ottumwa Campus, VCTCRoom: CC8Credit: 2.0 CEH’s for EMS (FE) Tuition: $5.00Course No.: 12/YR*HEA*3100*777

1-800-726-2585, ext. 5281


EMS Initial Training CoursesArrangements may be made to offer Medical Responder, EMT or AEMT classes within a community or business provided there is a minimum number of students interested. For more information on these classes or to bring an EMS certification course to your community or location, contact Cindy Hewitt at (641) 683-5122 or (800) 726-2585, ext. 5122 or email:[email protected].

EMS Transition Information

In August of 2011 the Iowa Department of Public Health Bureau of EMS, based on recommendations from the Iowa EMS Advi-sory Council, will begin transitioning the current levels of First Responder, EMT-Basic, EMT-Intermediate, EMT-Paramedic and Paramedic Specialist to the new levels of scope of practice. These new levels incorporate the nationally identified scope of practice levels of Emergency Medical Responder, Emergency Medical Technician, Advanced EMT and Paramedic.

First Responder, EMT-Basic and Paramedic Specialist

Emergency medical care providers at the First Responder, EMT-Basic and Paramedic Specialist levels will complete the transi-tion during their regular renewal cycle. Providers at these levels can meet the transition requirements through previous training, continuing education courses or on the job training. Completion of transition topics will be required in order to renew. Required transition topics for each level are found on the specific level certification “Transition Form*.” Individuals will indicate that they have met transition requirements at the time they renew. Indi-viduals should not send transition paperwork in the middle of a renewal cycle but only at time of recertification. The chart below includes dates for the completion of transition.

Iowa EMT-Intermediates

Iowa EMT-Intermediates may transition to the EMT or Advanced EMT levels. To transition to the AEMT level, individuals must complete specific education training topics, verify competency of new skills through a local EMS training program and complete the National Registry of EMT computer-based written examina-tion. Transition training requirements can be met through previ-ous training, continuing education courses or on the job train-ing. Required transition topics for each level are found on the specific level certification “Transition Form*.” The fee for the first attempt of this computer-based written examination will be paid for by the EMS Bureau. EMT-Intermediates who do not com-plete the transition by March 31, 2016 will be issued an EMT

certification.

EMT-Paramedics

EMT-Paramedics may transition to the Advanced EMT or Para-medic levels. To transition to the Paramedic level, individuals must complete specific education training topics and complete the National Registry of EMT computer-based written examina-tion. Transition training requirements can be met through previ-ous training, continuing education courses or on the job train-ing. Required transition topics for each level are found on the specific level certification “Transition Form*.” The fee for the first attempt of this computer-based written examination will be paid for by the EMS Bureau. EMT-Paramedics who do not complete the transition by March 31, 2018 will be issued an AEMT certi-fication.*Specific transition requirements can be found on the EMS Bu-reau by going to www.idph.state.ia.us/ems/ and clicking on the “Transition” link in the blue bar at the top of the page and then the appropriate EMS level on the left of the page.

EMS Transition Information

Current Level Transition LevelDate for Completion†† Transition at the time of your normal certification

renewal

First Responder Emergency Medical Responder (EMR)

September 30, 2013 or 2014††

EMT - Basic Emergency Medical Technician (EMT)

March 31, 2014 or 2015 ††

Iowa EMT - Intermediate

Advanced Emergency Medical Technician (AEMT)

By March 31, 2016

EMT - Paramedic Paramedic By March 31, 2018

Paramedic Specialist

Paramedic March 31, 2014 or 2015††

EMS Continuing Education Courses, Cont.

EMS Instructor Faculty Development Classes Although open to anyone, these classes are intended to provide faculty development for EMS professionals who posses instruc-tor or evaluator endorsement. Faculty development is required by IHCC’s EMS Program accreditation and attendance is re-quired for continued use as an adjunct instructor or evaluator for IHCC.

All classes are free and held in the Rural Health Education Center (RHEC). OE EMS continuing education credit will be awarded. Contact Cindy Hewitt at 641-683-5122 or email [email protected] to preregister.

What: EMS SoftwareWhen: Tuesday, January 17, 2012

What” EMS Education StandardsWhen: Tuesday, March 13, 2012 6:30 p.m. - 8:30 p.m.

What: EMS Software, EMS Education Standards & NREMT Practical Examinations

When: Saturday, April 21, 2012 7:30 a.m. - 1:30 p.m.

What” NREMT Practical ExaminationsWhen: Tuesday, May 15, 2012 6:30 p.m. - 8:30 p.m.

EMS Transition CoursesThese classes are in no way required as EMS providers may meet transition training requirements through previous training, previous continuing education courses or on the job training. These classes are being offered for people who have not met the training requirements or as a convenience for individuals who wish to receive this training while earning the continuing education hours they would normally need to renew their certification anyway. Please mark these dates on your calender.

EMS Transition Courses Dates TimesFR to EMR Sept 13, 2012 6:00 p.m. - 10:00 p.m.EMT-B to EMT Feb 25, 2012 8:00 a.m. - 3:00 p.m.IA PS to National Paramedic Feb 10, 2012 8:00 a.m. - 5:00 p.m.

IA EMT-I to AEMT-Module Rx Jan 26, - Feb 2, 9, 16 & 23, 2012 6:00 p.m. - 10:00 p.m.

IA EMT-I to AEMT-Module 2 - Medical Mar 1, 8, 15 & 22, 2012 6:00 p.m. - 10:00 p.m.

IA EMT-I to AEMT-Module 3 - Trauma Mar 29, 2012 6:00 p.m. - 10:00 p.m.

IA EMT-I to AEMT-Module 4 - Misc. Topics Apr 5, 2012 6:00 p.m. - 10:00 p.m.

IA EMT-I to AEMT-Skills Practice April 12 & 19, 2012 6:00 p.m. - 10:00 p.m.

IA EMT-I to AEMT-Skills Verification April 21, 2012 8:30 a.m. - 1:00 p.m.

FR to EMR Transition

This session will cover all objectives in the FR to EMR Training Requiremnets secion of the FR to EMR transi-tion forms.

When: Thursday, September 13, 2012 6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 4.5 Contact hours for nursing, 4.5 CEH’s for

EMS (FE) Tuition: $25.00Course No.: 13/YR*REL*4815*700

EMT-B to EMT Transition

This session will cover all objectives in the EMT-B to EMT Training Requirements section of the EMT-B to EMT tran-sition forms.

When: Saturday, February 25, 2012 8:00 a.m. - 3:00 p.m. (hour for lunch on your

own)Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 6.5 Contact hours for nursing, 6.5 CEH’s for


Iowa PS to National Paramedic Transition

This session will cover all objectives in the Iowa PS to National Paramedic Training Requirements section of the Iowa PS to National Paramedic transition forms.

When: Saturday, February 10, 2012 8:00 a.m. - 5:00 p.m. (hour for lunch on your

own)Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 8.5 Contact hours for nursing, 8.5 CEH’s for


Iowa EMT-I to AEMT (Advanced EMT)

Multiple education objectives are required for transi-tion form Iowa EMT-I to AEMT. These objectives have been broken in topic areas on the state transition forms. IHCC’s CE classes for these objectives have been bro-ken into modules matching these categories on the transi-tion form. Individuals may take any combination of these modules to meet their specific needs, but must attend all nights in a specific module to receive CE credit for it.

Iowa EMT-I to AEMT (Advanced EMT) - Module 1 - Rx

Module 1 will cover objectives in the Anatomy & Physiol-ogy and Pharmacology Training Requirements section of the Iowa EMT-I to AEMT transition forms. Participants must attend all 5 evenings of this module for credit.

When: Thursdays, January 26 - February 23, 2012

6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 22.5 Contact hours for nursing, 22.5 CEH’s

for EMS (FE) Tuition: $125.00Course No.: 12/YR*REL*4815*703

Iowa EMT-I to AEMT (Advanced EMT) - Module 2 - Medical

Module 2 will cover objectives in the Medical Training Requirements section of the Iowa EMT-I to AEMT transi-tion forms. Participants must attend all 4 evenings of this module for credit.

When: Thursdays, March 1 - 22, 2012 6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 18.0 Contact hours for nursing, 18.0 CEH’s

for EMS (FE)Tuition: $100.00Course No.: 12/YR*REL*4815*704


Iowa EMT-I to AEMT (Advanced EMT) - Module 3 - Trauma

Module 3 will cover objectives in the Trauma Training Re-quirements section of the Iowa EMT-I to AEMT transition forms.

When: Thursday, March 29, 2012 6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 4.5 Contact hours for nursing, 4.5 CEH’s for


Iowa EMT-I to AEMT (Advanced EMT) - Module 4 - Misc. Topics

Module 4 will cover objectives in the Life Span Develop-ment, Airway, Special Patient Populations & Mass Cau-sality Incident Training Requirements section of the Iowa EMT-I to AEMT transition forms.

When: Thursday, April 5, 2012 6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 4.5 Contact hours for nursing, 4.5 CEH’s for


Iowa EMT-I to AEMT (Advanced EMT) - Skills Practice

This offering will provide Iowa EMT-I’s a program that will help prepare them to successfully verify skills as required in the Skills Verification Requirements section of the tran-sition forms. Participants must attend both evenings of program for credit.

When: Thursdays, April 12 & 19, 2012 6:00 p.m. - 10:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: 9.0 Contact hours for nursing, 9.0 CEH’s for


Iowa EMT-I to AEMT (Advanced EMT) - Skills Verifica-tion

This skills verification will provide Iowa EMT-I’s transition-ing to AEMT’s an opportunity to have their skills verified by a state training program as required by the EMS Bu-reau for transition. NREMT skills checklists will be used to verify skills.

When: Saturday, April 21, 2012 8:30 a.m. - 1:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 108Credit: No Continuing education is available for this

skills verification.Tuition: $25.00 per station or each repeated stationCourse No.: 12/YR*REL*4815*708

EMS Transition Courses, Cont. Mandatory Reporter - Abuse

With a minimum of eight students, Dependent Adult and/or Child Abuse classes may be brought to your facility. Please

call four weeks in advance of your needs. Call: 1-800-726-2585, ext. 5183

Dependent Adult/Child Abuse - Mandatory Reporter

This course meets the Iowa Code 235.B.16(5) requirements for foster parents, social workers, nurse aides and other health care providers as mandatory reporters of adult/child abuse.

For all courses:Where: IHCC Ottumwa Campus, RHECRoom: 118Credit 2.0 CEH’s/CH’sTuition: $20.00 each Adult OR Child Abuse

When: Thursday, January 12, 2011 Adult: 5 - 7 p.m., Child: 7 - 9 p.m.Course No.: 12/YR*REL*4506*711 (Dep. Adult Abuse) 12/YR*REL*4507*711 (Child Abuse)

When: Thursday, January 26, 2012 Adult: 8 - 10 a.m., Child: 10 a.m. - 12p.m.Course No.: 12/YR*REL*4506*807 (Dep. Adult Abuse) 12/YR*REL*4507*807 (Child Abuse)

When: Thursday, February 09, 2012 Adult: 5 - 7 p.m., Child: 7 - 9 p.m.Course No.: 12/YR*REL*4506*707 (Dep. Adult Abuse) 12/YR*REL*4507*707 (Child Abuse)

When: Thursday, February 23, 2012 Adult: 8 - 10 a.m., Child: 10 a.m. - 12 p.m.Course No.: 12/YR*REL*4506*808 (Dep. Adult Abuse) 12/YR*REL*4507*808 (Child Abuse)

When: Thursday, March 8, 2011 Adult: 5 - 7 p.m., Child: 7 - 9 p.m.Course No.: 12/YR*REL*4506*708 (Dep. Adult Abuse) 12/YR*REL*4507*708 (Child Abuse)

When: Thursday, March 22, 2012 Adult: 8 - 10 a.m., Child: 10 a.m. - 12p.m.Course No.: 12/YR*REL*4506*809 (Dep. Adult Abuse) 12/YR*REL*4507*809 (Child Abuse)

When: Thursday, April 12, 2012 Adult: 5 - 7 p.m., Child: 7 - 9 p.m.Course No.: 12/YR*REL*4506*709 (Dep. Adult Abuse) 12/YR*REL*4507*709 (Child Abuse)

When: Thursday, May 3, 2012 Adult: 8 - 10 a.m., Child: 10 a.m. - 12 p.m.Course No.: 12/YR*REL*4506*810 (Dep. Adult Abuse) 12/YR*REL*4507*810 (Child Abuse)

When: Thursday, May 10, 2012 Adult: 5 - 7 p.m., Child: 7 - 9 p.m.Course No.: 12/YR*REL*4506*710 (Dep. Adult Abuse) 12/YR*REL*4507*710 (Child Abuse)

When: Thursday, June 21, 2012 Adult: 8 - 10 a.m., Child: 10 a.m. - 12 p.m.Course No.: 13/YR*REL*4506*800(Dep. Adult Abuse) 13/YR*REL*4507*800 (Child Abuse)

1-800-726-2585, ext. 5281

CNA & Short Term Programs

Nursing Essentials I / Nurse Aide

This course introduces the student to the scientific knowledge, technical skills, and communication techniques, as specified by OBRA, to function as an accountable member of the health care team. Theory, laboratory practice, and clinical experience will be incorporated to prepare the student to address the patient’s biopsychosocial and spiritual needs.

Prerequisites: Physical with two-step TB testing (PPD) prior to course start. Criminal background check required at time of pre-registration for course.

This 3 credit course consists of: Nursing Essentials I ($411.00), Other Fees ($15.00), Dependant Adult/Child Abuse ($40.00), and OBRA Skills Registry Exam ($75.00) and OBRA Written Registry Exam ($45.00). Background Check ($20.00)- separate check made out to IHCC prior to class.) Nursing Essentials I is billed for a total of $606.00 for in-state students (for out-of-state students please call for the cost).

Background check ($20 charge)- students wishing to enroll in the CNA program must turn in a completed background check form (with non-refundable $20 fee) no more than 30 days prior to course start and a minimum of 1 week prior to class start. Students who have not submitted a background check form a minimum of 1 week prior to class will not be allowed to start the course. Any background check more than 30 days old is not valid for the CNA program and will need to be repeated at the $20 fee.

Physical examination with 2-step TB Testing- a completed physical examination form must be turned in on or before the first day of class. Students without completed forms will not be allowed to start the class.

Payment- Payment for the CNA class is due no later than the first day of class. Students without full payment will not be allowed to start the course. Students whose course is being paid for by a third party must bring a letter no later than the first day of class from that party indicating their agreement to pay for the class for that student.

Background check forms and physical examination forms:1. may be picked up at the Rural Health Education

Center on the IHCC campus2. are available for download at: www.indianhills.edu/

RHEP under “Certificate Programs”3. may be received via mail by calling 1-800-726-2585

ext. 5281 or 641-683-5281.

Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Clinical Time: 6:30 a.m. - 2:45 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total cost.

When: Monday - Thursday, Jan. 9 - 25, 2012Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total cost

Course No.: 11/CW*PNN*147*81

When: Monday - Thursday, Feb. 6 - 22, 2011Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total costCourse No.: 11/CW*PNN*147*82

When: Monday - Thursday, March 5 - 21, 2011Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total costCourse No.: 12/CS*PNN*147*80

When: Monday - Thursday, April 16 - May 2, 2012Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total costCourse No.: 12/CS*PNN*147*81

When: Monday - Thursday, June 4 - 20, 2012Class Time: 7:45 a.m. - 3:15 p.m. (class-first seven days)Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: See paragraph above for total costCourse No.: 12/CS*PNN*147*80

OBRA Registry Exams

OBRA written examinations are computerized and will be administered on an individual basis. Individuals may schedule an appointment to take the exam by calling the testing center at 641-683-5142 or 1-800-726-2585, ext. 5142. Candidates must show a photo ID to test. Examination fee: $45.00. Test fees must be paid for before to testing.

OBRA Skills Registry ExamOBRA skills examinations will be completed on the IHCC Ottumwa Campus in the Rural Health Education Center nursing lab, rooms 17-18. Examinations may be scheduled by calling Vicki at: 1-800-726-2585, ext 5281 or 641-683-5281

OBRA Skills Registry ExamExamination fee: $75.00. Testing fee must be paid when pre-registering for the course. No walk-ins will be allowed.

Examination Dates: (Fridays)Jan. 13 Jan. 27 Feb. 10Feb. 24 March 9 March 23April 13 May 4 June 8June 29

Medication Manager

This course is designed to prepare individuals to safely administer non-parenteral medications in a fifteen bed or less residential facility, child care facility, or a supervised living apartment. Emphasis is placed on the safe administration of medications from a prescription

For additional information on the following courses, please contact Scott Johnson at 641-683-5217 or 1-800-726-2585, ext. 5217 or e-mail [email protected].


bottle and observation of obvious medication reactions. Prerequisites: None.

When: Monday - Wednesday, Jan. 30-Feb. 1, 2012 9:00 a.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CU*HSC*149*80

When: Monday - Wednesday, Feb 27-29, 2012 9:00 a.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CF*HSC*149*81

When: Monday - Wednesday, March 26-28, 2012 9:00 a.m. - 3:00 p.m.

Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CW*HSC*149*80

When: Monday - Wednesday, Apr. 30- May 2, 2012

9:00 a.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CW*HSC*149*80

When: Monday - Wednesday, May 29-31, 2012 9:00 a.m. - 3:00 p.m.

Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CW*HSC*149*80

When: Monday - Wednesday, June 25-27, 2012 9:00 a.m. - 3:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $137.00 Other Fee: $10.00Course No.: 11/CW*HSC*149*80

Medication Aide

This course prepares the certified Nurse Aide, employed in a nursing facility, residential or assisted living facility, to safely administer non-parenteral medications under the direct supervision of a registered nurse. Theory, laboratory and clinical experiences are incorporated into the course. This program meets Federal and Iowa legislation guidelines.

Prerequisites: Current employment in a certified nursing facility, residential or related licensed facility, or assisted living facility. Must meet state mandated requirements. Two-step TB testing (PPD) is required prior to course start.

CNA..., Cont.When: Monday - Thrsday, May 7- May 24 Lecture: 9:00 a.m. - 3:00 p.m. (May 7-17) Clinical: 6:00 a.m. - 11:30 p.m. (May 21-24)Where: IHCC Ottumwa Campus, Bennett Building Clinical at Vista WoodsRoom: 104Tuition: $325.00 - Summer tuition rate. Tuition has

not been set for the Fall Term at the time of publication. Fall tuition rates will apply for the tuition of this course.

Other Fee: $80.00Course No.: 12/CS*HSC*147*80

Activity Coordinator

This course prepares the student to work in a variety of care facilities and centers. The course presents the necessary knowledge and skills to determine facility and resident needs through the development of activity programs. The course meets federal and state requirements. A background check is required at the time of course registration.

When: TBD Spring 2012 Ten Fridays, 8:00 a.m. - 4:30 p.m. Where: IHCC Ottumwa Campus, Bennett BuildingRoom: TBDTuition: $411.00 Other Fee: $20 Background Check

These courses are sponsored by the Southeastern Iowa Association of Activity Professionals.

“Maintaining your Activity Professional Certification”

When: Monday, March 5, 2012 5:00 p.m. - 7:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 2.0 Contact hours for activity Coordinators Tuition: $60.00 Tuition: No ChargeCourse No.: 12/YR*HEA*3014*700

“Care Planning for Activity Professional ”

When: Monday, April 2, 2012 5:00 p.m. - 7:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 2.0 Contact hours for activity Coordinators Tuition: No ChargeCourse No.: 12/YR*HEA*3014*701

“Resources for the Activity Professional”

When: Monday, May 7, 2012 5:00 p.m. - 7:00 p.m. Where: IHCC Ottumwa Campus, RHECRoom: 118Credit: 2.0 Contact hours for activity Coordinators Tuition: No ChargeCourse No.: 12/YR*HEA*3014*702

1-800-726-2585, ext. 5281

Activity Coordinator Con Ed


Heartsaver Pediatric First Aid

Heartsaver Pediatric First Aid course teaches rescuers to effectively recognize and treat pediatric emergencies in the critical first minutes until emergency medical services personnel arrive. The course provides a complete health and safety training solution for first aid. AHA course completion card issued on successful completion. **

When: Thursday April 12, 2012 5:30 - 8:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00 Course No.: 12/YR*HEA*2007*C14

When: Tuesday, June 5, 2012 5:30 - 8:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00 Course No.: 12/YR*HEA*2007*C15

Heartsaver Pediatric First Aid with CPR

In addition to First AId (see description above) this course will include Heartsaver adult, child and infant CPR/AED. (see description below) **

When: Saturday, February 11, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $50.00 Other Fee: $4.00 Course No.: 12/YR*HEA*2007*C20

Heartsaver CPR/AED: Adult/Child/Infant

Heartsaver adult, child, and infant CPR teaches lay res-cuers how to recognize and treat life-threatening emer-gencies, including cardiac arrest and choking for adult, child and infant victims. Students also learn to recognize the warning signs of heart attack and stroke in adult and breathing difficulties in children. This course teaches res-cue breathing with and without the use of barrier devices. This course will incorporate adult, child and infant CPR. AHA course completion card issued on successful com-pletion of skills evaluation.**

When: Tuesday, January 17, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00Course No.: 12/YR*HEA*1010*C62

The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS and PALS, and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association, and any fees charged for such a course do not represent income to the Association.

For further information or to schedule a class for your business/facility contact Diana Harness at: 641-683-5205 or [email protected]

When: Tuesday, March 13, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00Course No.: 12/YR*HEA*1010*C87When: Tuesday, April 17, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00Course No.: 12/YR*HEA*1010*C88

When: Tuesday, May 8, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00Course No.: 12/YR*HEA*1010*C89

When: Tuesday, June 12, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $26.00Other Fee: $4.00Course No.: 12/YR*HEA*1010*C90

BLS Healthcare Provider Renewal

This course is designed to renew healthcare providers in the skills of CPR, AED, and FBAO for victims of all ages. It is intended for participants who have completed the Healthcare Provider Initial class in the past 2 years and who provide care to patients in a wide variety of settings both in and out of hospital. AHA course completion card issued on successful completion of skills evaluation.**

When: Tuesday, January 24, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $36.00 Other Fee: $4.00 Course No.: 12/YR*HEA*1001*C94

When: Tuesday, February 21, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $36.00 Other Fee: $4.00 Course No.: 12/YR*HEA*1001*C95

When: Tuesday, March 20, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHEC

CPR & First Aid

1-800-726-2585, ext. 5281

Kids ProgramsRoom: 109Tuition: $36.00 Other Fee: $6.00 Course No.: 12/YR*HEA*1001*CF2

When: Tuesday, April 24, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $36.00 Other Fee: $4.00 Course No.: 12/YR*HEA*1001*CF3

When: Tuesday, May 15, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $36.00 Other Fee: $4.00 Course No.: 12/YR*HEA*1001*CF4

When: Tuesday, June 19, 2012 5:30 - 9:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $36.00 Other Fee: $4.00 Course No.: 13/YR*HEA*1001*C08

BLS Healthcare Provider Instructor - Initial

This course is designed to certify participants to teach BLS according to standards set by the American Heart Association. Pre-requisite: current BLS Healthcare Pro-vider. Prospective students must also:

1) Bring completed instructor application/with recommendation of instructor potential,

2) Align with a Training Center prior to the class, 3) Have completed the American Heart Association

Core Instructor Course.An AHA instructor card will be issued upon successful completion of this course and successful course monitor-ing. Contact IHCC AHA Training Center Coordinator for more details at (641) 683-5205.

When: March 23, 2012 8:00 a.m. - 5:00 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $ 55.00Other Fee: $ 25.00 AHA Instructor Core Course DVD (if

needed), $ 96.00 BLS Instructor Manual and Tool Kit

OR $33.00 BLS Instructor Manual w/o tool kit $ 25.00 Instructor Monitoring Fee $ 49.00 Heartsaver Instructor Manual $ 6.00 AHA Instructor Card (issued on

successful completion)Course No.: 12/YR*HEA*3500*C03Prerequisite: Current BCLS Healthcare Provider Card.

Pre-registration is required. Bring your own pocket mask.

CPR & First Aid, Cont.BLAST Baby Sitting Class

The BLAST (Babysitting Lessons & Safety Training) Program is an exciting and interactive course that teaches participants how to set up and run their own baby sitting business, how to handle the basics of childcare, how to react responsibly to medical emergencies and injuries, how to preform first aid for common childhood injuries and illnesses and how to entertain children with a variety of activities. Participants will complete Heartsaver Family and Friends CPR and receive a CPR course participation card. During the course students will also make first aid kits and baby sitter busy bags filled with activities and games to use while baby sitting. This class is open to students age 11-14 years of age. Enrollment is limited. Participants should bring a doll or teddy bear (12-16”) with them to class.

When: Tuesday, March 20, 2012 9:00 am- 3:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 118Tuition: $45.00- includes lunch, CPR book, BLAST

baby sitting book, first aid kit, baby sitter busy bag with contents and handouts.

Other Fee: $4.00 Course No.: 12/YR*VOC*3478*700

When: Wednesday, June 6, 2012 9:00 am- 3:30 p.m.Where: IHCC Ottumwa Campus, RHECRoom: 109Tuition: $45.00- includes lunch, CPR book, BLAST

baby sitting book, first aid kit, baby sitter busy bag with contents and handouts.

Other Fee: $4.00 Course No.: 12/YR*VOC*3478*701

Kids Summer Camps

RHEP will hold summer camps for kids again in 2012. Dates have yet to be determined. Email [email protected] or call 641-683-5337 after April 1, 2012 for more information.

Health Exploration Day Camp

Open to 3rd and 4th graders, this day camp will be held in Ottumwa and possibly Oskaloosa. Students come for just the day and are exposed to a variety of health topics and careers.

Health Career Camp

This two day overnight camp is open to 5th and 6th graders. Students will stay overnight in the IHCC dorms and learn about a variety of health careers. This camp will be held twice, once in June and once in July.

Junior Medical School

7th and 8th graders may attend Junior Medical School which will be held just once in early July. Students stay overnight in IHCC dormitories and will get the opportuni-ty to practice a variety of simulated medical procedures.


Objectives:

Acid Reflux DiseasesThis continuing education article is worth 1.0 contact hour for nurs-ing, or 1.0 CEH for EMS (OE) for participants who send $5 payment with the completed post-test to RHEP, and obtain a post test score of at least 80%. Submission dead-line is June 15, 2012.

Continuing Education Article

Gastroesophageal reflux disease (GERD), gastro-oesophageal reflux disease (GORD), gastric reflux dis-ease, or acid reflux disease is chron-ic symptoms or mucosal damage caused by stomach acid coming up from the stomach into the esophagus.[1] A typical symptom is heartburn. In Western populations, the prevalence range for GERD is 10% to 20% of the population. The preva-lence rate of GERD in developed na-tions is also tightly linked with age, with adults aged 60 to 70 being the most commonly affected. The combi-nation of longer life expectancy and aging populations in the developed world is expected to lead to an in-crease in GERD prevalence in the years to come GERD is usually caused by changes in the barrier between the stomach and the esophagus, includ-ing abnormal relaxation of the lower esophageal sphincter, which nor-mally holds the top of the stomach closed; impaired expulsion of gastric reflux from the esophagus, or a hiatal hernia. These changes may be per-manent or temporary, or transient. In adults the most-common symptoms of GERD are: -Heartburn -Regurgitation -Trouble swallowing (dysphagia)Less-common symptoms include: -Pain with swallowing (odynopha gia) -Increased salivation -Nausea[2] -Chest painGERD sometimes causes injury of the esophagus. These injuries may include: Reflux esophagitis – necrosis of esophageal epithelium causing ul-cers near the junction of the stomach and esophagus. Esophageal strictures – the per-sistent narrowing of the esophagus caused by reflux-induced inflamma-tion.

Barrett’s esophagus – intestinal metaplasia (changes of the epithe-lial cells from squamous to intestinal columnar epithelium) of the distal esophagus.[3] Esophageal adenocarcinoma – a rare form of cancer.[2] Several other atypical symp-toms are associated with GERD, but there is good evidence for causation only when they are accompanied by esophageal injury. These symptoms are: -Chronic cough -Laryngitis (hoarseness, throat clearing) -Asthma -Erosion of dental enamel -Dentine hypersensitivity -Sinusitis and damaged teeth[4] -Pharyngitis GERD may be difficult to de-tect in infants and children, since they cannot describe what they are feeling and indicators must be observed. Symptoms may vary from typical adult symptoms. GERD in children may cause repeated vomiting, effort-less spitting up, coughing, and other respiratory problems such as wheez-ing. Inconsolable crying, refusing food, crying for food and then pull-ing off the bottle or breast only to cry for it again, failure to gain adequate

weight, bad breath, and belching or burping are also common. Children may have one symptom or many; no single symptom is universal in all chil-dren with GERD. It is estimated that of the approximately 4 million babies born in the U.S. each year, up to 35% of them may have difficulties with reflux, known as “spiting up” in the first few months of their life.[5] Most children will outgrow their reflux by their first birthday. However, a small but sig-nificant number of them will not out-grow the condition. This is particularly true where there is a family history of GERD present. GERD may lead to Bar-rett’s esophagus, a type of intestinal metaplasia,or cell replacement [3] which is in turn a precursor condition for carcinoma. The risk of progres-sion from Barrett’s to dysplasia is un-certain but is estimated at about 20% of cases.[7] Due to the risk of chronic heartburn progressing to Barrett’s, EGD or Esophagogastroduodenos-copy every five years is recommend-ed for patients with chronic heartburn, or who take drugs for chronic GERD. A detailed historical knowl-edge is vital for an accurate diagno-sis. Useful investigations may include ambulatory esophageal pH monitor-ing, barium swallow X-rays, esopha-geal manometry, and esophagogas-troduodenoscopy (EGD) (a type of endoscopy). The current gold standard for diagnosis of GERD is esophageal pH monitoring. It is the most objective test to diagnose the reflux disease and it also allows to monitor GERD patients in regards of their response to medical or surgical treatment. One practice for diagnosis of GERD is a short-term treatment with proton

Upon completion the par-ticipant will be able to:

- List the symptoms of GERD- Identify the pathophysiology of GERD- Select treatment strategies for GERD- List symptoms of laryngopha ryngeal reflux - Differientate the patient with GERD and the patient with laryngopharyngeal reflux

1-800-726-2585, ext. 5281

Continuing Education Article, Cont.

pump inhibitors, with improvement in symptoms suggesting a positive diagnosis. According to a systematic review, short-term treatment with pro-ton pump inhibitors may help predict abnormal 24-hr pH monitoring results among patients with symptoms sug-gestive of GERD.[8] In general, an EGD is done when the patient either does not re-spond well to treatment or has alarm symptoms including dysphagia, anemia, blood in the stool (detected chemically), wheezing, weight loss, or voice changes. Some physicians advocate either once-in-a-lifetime or 5/10-yearly endoscopy for patients with longstanding GERD, to evaluate the possible presence of dysplasia or Barrett’s esophagus, a precursor lesion for esophageal adenocarcino-ma.[9] Esophagogastroduodenos-copy (EGD) involves insertion of a thin scope through the mouth and throat into the esophagus and stom-ach (often while the patient is se-dated) in order to assess the internal surfaces of the esophagus, stomach, and duodenum. GERD is caused by a failure of the cardia or the part of the stom-ach attached to the esophagus. The cardia begins immediately distal to the z-line of the gastroesophageal

does not contain the lower esopha-geal sphincter, which is also called the cardiac sphincter, gastroesoph-ageal sphincter, and esophageal sphincter. In healthy patients, the “An-gle of His”—the angle at which the esophagus enters the stomach—cre-ates a valve that prevents duodenal bile, enzymes, and stomach acid from traveling back into the esopha-gus where they can cause burning and inflammation of sensitive esoph-ageal tissue. Several factors can contrib-ute to the development of GERD in an individual. Hiatal hernia, in-creases the likelihood of GERD due to mechanical and motility factors.[11][12] Obesity or increased body mass index is associated with more severe GERD.[13] In a large study of 2000 patients with symptomatic re-flux disease, it has been shown that 13 % of changes in esophageal acid exposure is attributable to changes in body mass index.[14] Other factors include Zollinger-Ellison syndrome, which can increase gastric acidity due to gastrin production. Hypercalcemia, which can also increase gastrin production, also leads to increased acidity. Scleroderma and systemic sclerosis, can lead to GERD due to

esophageal dysmotility. Other factors that have been linked with GERD, but not conclu-sively shown to be causes include obstructive sleep apnea, [15][16], and gallstones, which can impede the flow of bile into the duodenum, which can affect the ability to neutral-ize gastric acid GERD is largely preventable through changes in lifestyle, which are also used as treatment These include: -Sleeping on the left side, or with the upper body raised. Sleeping on the left side utilizes gravity to keep the stomach below the esophagus.[21] Relief is often found by raising the head of the bed, raising the up-per body with pillows, or sleeping sitting up.[20] The upper body must be raised, not just the head; pillows that only raise the head do little for heartburn and put strain on the neck. The head of the bed can be elevated by plastic or wooden bed risers that support bed posts or legs, a thera-peutic bed wedge pillow, a wedge or an inflatable mattress lifter that fits in between mattress and box spring or a hospital bed with an elevate feature. The height of the elevation is critical and must be at least 6 to 8 inches (15 to 20 cm) to be at least minimal-ly effective to prevent the backflow of gastric fluids. Some innerspring mattresses do not work well when inclined and may cause back pain; some prefer foam mattresses. Some practitioners use higher degrees of incline than provided by the common-ly suggested 6 to 8 inches (15 to 20 cm) and claim greater success. -Eating smaller meals. Eating a big meal causes excess stomach acid production, so attacks can be mini-mized by eating smaller meals. It is also important to avoid eating shortly before bedtime.[12] -Losing weight. Gaining even a few pounds increases the risk of heart-burn.[20] Exactly why isn’t clear, but the leading theory is that more body fat puts more pressure on the stom-ach, which can cause highly acidic stomach contents to reflux to the lower esophageal sphincter. For the

junction, where the squamous epithelium of the esophagus gives way to the columnar epi-thelium of the gastrointestinal tract. Just proxi-mal to the car-dia at the gas-troesophageal (GE) junction is the anatomically indistinct but physiologically demonstrable lower esopha-geal sphinc-ter. The cardia overlaps with but specifically


Continuing Education Article, Cont.same reason, tight clothing around the abdomen can also increase the risk of heartburn. -Avoiding acidic and rich foods. Though less well supported by evi-dence,[20] a sufferer may benefit from avoiding foods that trigger their symptoms. These commonly include acidic fruit or juices, fatty foods, cof-fee, tea, onions, peppermint, choco-late, especially shortly before bed-time.[22] -Smoking cessation. Smoking re-duces lower esophageal sphincter competence, thus allowing acid to enter the esophagus. Proton pump inhibitors (such as omeprazole, esomeprazole, pan-toprazole, lansoprazole, and ra-beprazole) are the most effective in reducing gastric acid secretion. These drugs stop acid secretion at the source of acid production, i.e., the proton pump. Gastric H2 receptor blockers (such as ranitidine, famotidine and cimetidine) can re-duce gastric secretion of acid. These drugs are technically antihistamines. They relieve complaints in about 50% of all GERD patients. Antacids before meals or symptomatically after symptoms begin can reduce gastric acidity (in-crease pH). Alginic acid (Gaviscon) may coat the mucosa as well as increase pH and decrease reflux. Prokinetics strengthen the lower esophageal sphincter (LES) and speed up gastric emptying. Cisapride, a member of this class, was withdrawn from the market for causing long QT syndrome. Reglan (metoclopramide) is a prokinetic with a better side-effect profile. Sucralfate (Carafate) is also useful as an adjunct in helping to heal and prevent esophageal damage caused by GERD, however it must be taken several times daily and at least two (2) hours apart from meals and medications. Baclofen is an agonist of GABAB receptor. In addition to its skeletal muscle relaxant properties, it has also been shown to decrease transient lower esophageal sphincter relaxations at a dose of 10mg given

four times daily. Reductions in esoph-ageal relaxation clinically reduce epi-sodes of reflux.[26] The standard surgical treat-ment is the Nissen fundoplication. In this procedure the upper part of the stomach is wrapped around the lower esophageal sphincter (LES) to strengthen the sphincter and prevent acid reflux and to repair a hiatal her-nia. The procedure is often done lap-aroscopically.[28] When compared to medical management, laparoscopic fundoplication had better results at 1 year.[29] There were statistically sig-nificant improvements in quality of life at 3 months and 1 year after surgery compared to medical therapy. Another treatment is tran-soral incisionless fundoplication (TIF) with the use of a device called Eso-phyx, which allows doctors to rebuild the valve between the stomach and the esophagus by going through the esophagus.[31] An obsolete treatment is va-gotomy (“highly selective vagotomy”) which involves the surgical removal of vagus nerve branches that inner-vate the stomach lining. This treat-ment has been largely replaced by medication. In 2000 the U.S. Food and Drug Administration (FDA) approved two endoscopic devices to treat chronic heartburn. In pregnancy dietary modifi-cations and lifestyle changes may be attempted but often have little effect. Calcium-based antacids are recom-mended if these changes are not ef-fective. Aluminum- and magnesium antacids are also safe as is ranitidine.[32] Children may see relief with

of respiratory and laryngeal com-plaints such as laryngitis, chronic cough, pulmonary fibrosis, earache, and asthma, even when not clinically apparent. These atypical manifesta-tions of GERD is commonly referred to as laryngopharyngeal reflux(LPR) or as extraesophageal reflux dis-ease (EERD). Unlike GERD where heartburn is the primary symptom, heartburn is present in fewer than 50% of the patients with LPR. Other terms used to describe this condition include atypical reflux,[38] suprae-sophageal [39] or supra-esophageal [40]) reflux, and silent reflux. People who suffer from GERD usually have symptoms such as esophageal damage that result from the stomach acid shooting up into the esophagus. The acid and can irritate the tissues of the esophagus resulting in a sore throat and persis-tent coughing. Patients who suffer from LPR are more likely to experi-ence symptoms as a result of stom-ach acid refluxing into the larynx. LPR symptoms are the result of exposure of the upper aerodiges-tive tract to gastric juice. This causes a variety of symptoms, including: -Hoarseness -Postnasal drip -Sore throat -Difficulty swallowing -Indigestion -Wheezing -Chronic cough -Chronic throat-clearing. Some people with LPR have heartburn, while others have little or none of this symptom. This is be-cause the material that refluxes does not stay in the esophagus for very long. In other words, the acid does

changes in feeding techniques, such as smaller, more frequent feedings, changes in position during feed-ings, or more frequent burping during feed-ings.[33] They may also be treated with medi-cines such as ranitidine. GERD has been linked to a variety

1-800-726-2585, ext. 5281

Continuing Education Article, Cont.not have enough time to irritate the esophagus. [41] Adults who are afflicted with LPR often experience the acrid taste of bile emanating from the back of their throat. This is also likely to be accompanied by a lump-like sensa-tion in the throat, making it difficult to swallow. The throat may also seem to burn and breathing can be diffi-cult. These symptoms are most often prevalent just after waking. [42] As there are multiple poten-tial etiologies for the respiratory and laryngeal symptoms, establishing LPRD as the cause based on symp-toms alone is unreliable. Laryngo-scopic findings such as erythema, edema, laryngeal granulomas, and interarytenoid hypertrophy have been used to establish the diagnosis; but these findings are very nonspe-cific, and have been described in the majority of asymptomatic subjects undergoing laryngoscopy.[43] Re-sponse to acid-suppression therapy has been suggested as a diagnostic tool for confirming diagnosis of LPR, but studies have shown that the re-sponse to empirical trials of such therapy (as with proton-pump inhibi-tors) in these patients is often disap-pointing. Before a diagnosis can be made, the doctor will need to record the patient’s medical history and may ask for details about the symptoms that the patient is experiencing. The doctor will then need to perform a physical examination with particular concentration around the head and neck. The doctor may need to use a specialized camera lens made of fi-ber optic strands. This is gently fed down the patient’s throat which then feeds back images to a monitor. This enables the doctor to get a clearer look at the throat, particularly the larynx. Tell-tale signs include red-ness, swelling, and obvious irritation. Once a diagnosis is made, the doctor will propose a treatment method. In cases where severe damage has oc-curred to the throat, the doctor may be forced to take immediate action to improve the physical state of the lar-ynx and surrounding tissues.

Management of symptoms for patients within this subgroup of the GERD spectrum is difficult. Once these patients are identified, behavorial changes including weight loss and dietary changes are ad-vised. Further medical management using PPI’s is common practice.

References1.^ DeVault KR, Castell DO (1999). “Updated guidelines for the di-agnosis and treatment of gastroesophageal reflux disease. The Practice Parameters Committee of the American College of Gastro-enterology”. Am J Gastroenterol 94 (6): 1434–42. doi:10.1111/j.1572-0241.1999.1123_a.x. PMID 10364004. 2.^ a b c Kahrilas, PJ (2008). “Gastroesophageal Reflux Disease”. New England Journal of Medicine. 359 (16): 1700–7. doi:10.1056/NEJM-cp0804684. PMC 3058591. PMID 18923172. http://www.pubmedcen-tral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=3058591. 3.^ a b Wang KK, Sampliner RE (March 2008). “Updated guide-lines 2008 for the diagnosis, surveillance and therapy of Barrett’s esophagus”. Am J Gastroenterol 103 (3): 788–97. doi:10.1111/j.1572-0241.2008.01835.x. PMID 18341497. http://www.acg.gi.org/physi-cians/guidelines/BarrettsEsophagus08.pdf. 4.^ “Consumer Health Information”. Healthlink.mcw.edu. http://health-link.mcw.edu/article/968784529.html. Retrieved 2009-08-19. 5.^ “Spitting Up in Babies”. familydoctor.org. http://familydoctor.org/on-line/famdocen/home/children/parents/infants/218.html. 6.^ http://en.wikipedia.org/wiki/Baby_colic#Fourth_trimester_theory7.^ and Barrett’s Esophagus. Retrieved on 2009-02-01.8.^ Numans, ME; Lau, J; de Wit, NJ; Bonis, PA (April 2004). “Short-term treatment with proton-pump inhibitors as a test for gastroesophageal reflux disease: a meta-analysis of diagnostic test characteristics”. An-nals of internal medicine 140 (7): 518–27. PMID 15068979. http://www.annals.org/content/140/7/518.full.pdf. 9.^ Diagnosis - Endoscopy. Retrieved on 2009-03-20.[dead link]10.^ Mills, S (ed.) 2009.Sternberg’s Diagnostic Pathology. 5th Edition. ISBN 978-0-7817-7942-511.^ Sontag S (1999). “Defining GERD”. Yale J Biol Med 72 (2–3): 69–80. PMC 2579007. PMID 10780568. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2579007. 12.^ a b c Piesman M, Hwang I, Maydonovitch C, Wong RK (2007). “Nocturnal reflux episodes following the administration of a standard-ized meal. Does timing matter?”. Am J Gastroenterol 102 (10): 2128–34. doi:10.1111/j.1572-0241.2007.01348.x. PMID 17573791. 13.^ Ayazi S, Crookes PF, Peyre CG, et al. (2007). “Objective docu-mentation of the link between gastroesophageal reflux disease and obesity”. Am J Gastroenterol 102 (S2): 138–9. doi:10.1111/j.1572-0241.2007.01491_1.x. http://www.nature.com/ajg/journal/v102/n2s/full/ajg2007595a.html. 14.^ Ayazi S, Hagen JA, Chan LS, et al. (August 2009). “Obesity and Gastroesophageal Reflux: Quantifying the Association Between Body Mass Index, Esophageal Acid Exposure, and Lower Esophageal Sphincter Status in a Large Series of Patients with Reflux Symptoms”. J. Gastrointest. Surg. 13 (8): 1440–7. doi:10.1007/s11605-009-0930-7. PMC 2710497. PMID 19475461. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2710497. 15.^ Morse CA, Quan SF, Mays MZ, Green C, Stephen G, Fass R (2004). “Is there a relationship between obstructive sleep apnea and gastroesophageal reflux disease?”. Clin. Gastroenterol. Hepatol. 2 (9): 761–8. doi:10.1016/S1542-3565(04)00347-7. PMID 15354276. 16.^ Kasasbeh A, Kasasbeh E, Krishnaswamy G (2007). “Potential mechanisms connecting asthma, esophageal reflux, and obesity/sleep apnea complex—a hypothetical review”. Sleep Med Rev 11 (1): 47–58. doi:10.1016/j.smrv.2006.05.001. PMID 17198758. 17.^ H.J. O’Connor (Feb 1999). “Helicobacter pylori and gastro-oesophageal reflux disease-clinical implications and manage-ment”. Aliment Pharmacol Ther 13 (2): 117–27. doi:10.1046/j.1365-2036.1999.00460.x. PMID 10102940. 18.^ El-Omar E, Oien K, Nujuni AE, et al. (1997). “Helicobacter pylori infection and chronic gastric acid hyposecretion”. Gastroenterology 113 (1): 15–24. doi:10.1016/S0016-5085(97)70075-1. PMID 9207257. 19.^ C.A. Fallone, A.N. Barkun, S. Mayrand, G. Wakil, G. Friedman, A. Szilagyi, C. Wheeler & D. Ross (2004). “There is no difference in the disease severity of gastro-oesophageal reflux disease between patients infected and not infected with Helicobacter pylori”. Aliment Pharmacol Ther 20 (7): 761–8. doi:10.1111/j.1365-2036.2004.02171.x. PMID 15379836. http://www3.interscience.wiley.com/cgi-bin/full-text/118774431/HTMLSTART. 20.^ a b c d e Kaltenbach T, Crockett S, Gerson LB (2006). “Are lifestyle measures effective in patients with gastroesophageal reflux disease? An evidence-based approach”. Arch. Intern. Med. 166 (9): 965–71. doi:10.1001/archinte.166.9.965. PMID 16682569. 21.^ a b Khoury, RM; Camacho-Lobato L, Katz PO, Mohiuddin MA, Castell DO (1999). “Influence of spontaneous sleep positions on nighttime recumbent reflux in patients with gastroesophageal reflux disease”. Am J Gastroenterol 94 (8): 2069–73. doi:10.1111/j.1572-0241.1999.01279.x. PMID 10445529. 22.^ “Lifestyle Changes to Manage Your Heartburn” WebMD23.^ Decktor DL, Robinson M, Maton PN, Lanza FL, Gottlieb S (1995). “Effects of Aluminum/Magnesium Hydroxide and Calcium Carbon-ate on Esophageal and Gastric pH in Subjects with Heartburn”. Am J Ther 2 (8): 546–52. doi:10.1097/00045391-199508000-00006. PMID 11854825. 24.^ a b Tran T, Lowry A, El-Serag H (2007). “Meta-analysis: the efficacy of over-the-counter gastro-oesophageal reflux disease drugs”. Aliment Pharmacol Ther 25 (2): 143–53. doi:10.1111/j.1365-2036.2006.03135.x. PMID 17229239. 25.^ Cash, B.D.; Chey, W.D.. “Role of Serotonergic Agents in Primary

Chronic Constipation: Serotonergic Agents and Chronic Constipation”. MedScape. p. 4. http://www.medscape.com/viewarticle/518324_4. Re-trieved 2009-09-07. 26.^ Fass, Ronnie. “Medical Management of GERD”. MedScape. http://www.medscape.org/viewarticle/434528. Retrieved 2011-02-18. 27.^ van Marrewijk CJ, Mujakovic S, Fransen GA, Numans ME, de Wit NJ, Muris JW, van Oijen MG, Jansen JB, Grobbee DE, Knottnerus JA, Laheij RJ (January 2009). “Effect and cost-effectiveness of step-up versus step-down treatment with antacids, H2-receptor antagonists, and proton pump inhibitors in patients with new onset dyspepsia (DIA-MOND study): a primary-care-based randomised controlled trial”. The Lancet 373 (9659): 215–25. doi:10.1016/S0140-6736(09)60070-2. PMID 19150702. 28.^ Abbas A, Deschamps C, Cassivi SD, et al. (2004). “The role of laparoscopic fundoplication in Barrett’s esophagus”. Annals of Thoracic Surgery 77 (2): 393–6. doi:10.1016/S0003-4975(03)01352-3. PMID 14759403. 29.^ Grant AM, Wileman SM, Ramsay CR, et al. (2008). “Minimal ac-cess surgery compared with medical management for chronic gastro-oesophageal reflux disease: UK collaborative randomised trial”. BMJ 337: a2664. doi:10.1136/bmj.a2664. PMC 2603580. PMID 19074946. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2603580. 30.^ Wileman, SM; McCann, S; Grant, AM; Krukowski, ZH; Bruce, J; Wileman, Samantha M (2010). Wileman, Samantha M. ed. “Medical versus surgical management for gastro-oesophageal reflux disease (GORD) in adults”. Cochrane database of systematic reviews (On-line) 3 (3): CD003243. doi:10.1002/14651858.CD003243.pub2. PMID 20238321. 31.^ “New Surgery For Acid Reflux Sufferers”. CBS Interactive Inc. January 16, 2009. http://www.cbsnews.com/stories/2009/01/16/health/main4728359.shtml. Retrieved 2009-09-07. 32.^ Mahadevan U, Kane S (July 2006). “American gastroenterological association institute medical position statement on the use of gastroin-testinal medications in pregnancy”. Gastroenterology 131 (1): 278–82. doi:10.1053/j.gastro.2006.04.048. PMID 16831610. 33.^ http://www.mayoclinic.com/health/infant-acid-reflux/DS0078734.^ Ruigomez A, Garcia Rodriguez LA, Wallander MA, et al. (Sep-tember 2006). “Comparison of gastro-oesophageal reflux disease and heartburn diagnoses in UK primary care”. CMRO 22 (9): 1661–8. doi:10.1185/030079906X120986. PMID 16968569. Lay summary. 35.^ Kotzan J, Wade W, Yu HH (September 2001). “Assessing NSAID prescription use as a predisposing factor for gastroesophageal re-flux disease in a Medicaid population”. Pharm Res 18 (9): 1367–72. doi:10.1023/A:1013010616496. PMID 11683254. Lay summary. 36.^ Fedorak RN, Veldhuyzen van Zanten S, Bridges R (July 2010). “Canadian Digestive Health Foundation Public Impact Series: Gas-troesophageal reflux disease in Canada: Incidence, prevalence, and direct and indirect economic impact”. Canadian Journal of Gastro-enterology 24 (7): 431–4. PMC 2918483. PMID 20652158. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=2918483. Lay summary. 37.^ Tran T, Lowry A, El-Serag H (2009). “Lesogaberan, a GABA(B) agonist for the potential treatment of gastroesophageal reflux disease”. The Investigational Drugs Journal 12 (9): 576–84. PMID 19697277.

38.^ “MARCI-Kids Midwest Acid Reflux Children’s Institute”. http://www.marci-kids.com/eerintro.html. Retrieved 29 April 2010. 39.^ Fennerty, M. Brian (2004-03-25). “Supraesophageal Reflux: Ap-proach to Diagnosis and Management?”. Medscape Gastroenterology. MedScape. http://www.medscape.com/viewarticle/471304. Retrieved 2010-04-29. 40.^ Zerbib F, Stoll D (2010). “Management of laryngopharyngeal re-flux: an unmet medical need.”. Neurogastroenterol Motil 22 (2): 109–12. doi:10.1111/j.1365-2982.2009.01437.x. PMID 20067549. http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=clinical.uthscsa.edu/cite&retmode=ref&cmd=prlinks&id=20067549.

41.^ “Laryngopharyngeal Reflux (“Silent Reflux”): The Basics”. ja-miekoufman.com. 2010 [last update]. http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiqui-tous/. Retrieved 1 September 2011. 42.^ “Laryngopharyngeal Reflux Diet”. http://www.heartburn-stop.com/laryngopharyngeal-reflux-diet/. 43.^ Hicks, DM.; Ours, TM.; Abelson, TI.; Vaezi, MF.; Richter, JE. (Dec 2002). “The prevalence of hypopharynx findings associated with gas-troesophageal reflux in normal volunteers.”. J Voice 16 (4): 564–79. PMID 12512644. 12.^ Vaezi, MF.; Richter, JE.; Stasney, CR.; Spiegel, JR.; Iannuzzi, RA.; Crawley, JA.; Hwang, C.; Sostek, MB. et al. (Feb 2006). “Treatment of chronic posterior laryngitis with esomeprazole.”. Laryngoscope 116 (2): 254–60. doi:10.1097/01.mlg.0000192173.00498.ba. PMID 16467715. 13.^ Vaezi, MF; CG Garnett, F Farrokhi, S Casey, JC Slaughter, S Mud-dana, G Sun (August 2009). “A new pH cather for laryngopharygeal reflux: Normal Values”. Laryngoscope 119 (8): 1639–43. 14.^ Ayazi, Shahin; T.R. DeMeester, J.A. Hagen (1). “Proximal Esopha-geal pH Monitoring: Improved Definition of Normal VAlues and Deter-mination of a Composite pH Score”. Journal of the American College of Surgeons 210 (3): 345–350. doi:10.1016/j.jamcollsurg.2009.12.006. 15.^ Ford, Charles (September 2005). “Evaluation and Management of Laryngopharyngeal Reflux”. JAMA 294: 1534–40. 16.^ Koufman, JA (August 2011). “Low-Acid Diet for Recalcitrant La-ryngopharyngeal Reflux: Therapeutic Benefits and Their Implications”. Annals of Otology, Rhinology and Laryngology 120 (5): 281–87.

This article is a synopsis of Wikipedia articles on Esophageal Reflux Diseas and Extraesophagel Reflux disease


Continuing Education ArticlePost Test Questions

1. GERD is usually caused by all the following EXCEPT:a. frequent unmanaged gastritisb. abnormal relaxation of the lower esophageal sphincterc. impaired expulsion of gastric reflux from the esophagusd. hiatal hernia

2. The most common symptoms of GERD include all EXCEPT: a. heartburn b. hematemesisc. regurgitationd. dysphagia

3. Injuries to the esophagus caused by GERD can include all EXCEPT:a. Esophageal adenocarcinomab. Esophageal stricturesc. Barrett’s esophagus d. Esophageal varices

4. Lifestyle changes which help prevent or treat GERD include all EXCEPT:a. raising the foot of the bed b. eating smaller more frequent mealsc. avoid acidic and rich foods d. stop smoking

5. GERD in children may result in respiratory problems such as wheezing.a. true b. false

6. Obesity or increased body mass index is associated with less frequent and less severe cases of GERD. a. true b. false

7. Omeprazole, esomeprazole, pantoprazole, lansoprazole, and rabeprazole are all: a. antacids b. proton pump inhibitorsc. prokinetics d. H2 receptor blockers

8. The most common complaint in patients with laryngopharyngeal reflux (LPR) or extraesophageal reflux disease (EERD) is heartburn.

a. true b. false

9. The treatment for LRD varies significantly from that for GERD.a. true b. false

10. Definitive diagnosis of LRD may require camera visualization of the larynx.a true b. false

Answer SheetTo receive 1.0 CH’s/CEH’s for nursing or EMS (OE) circle your answers to the questions above on this answer sheet, detach and mail to with $5.00 payment to: RHEP, Attn: Sandy Berto, 655 Indian Hills Dr., Bldg # 21, Ottumwa, IA 52501

Name: Address: City:

State: Zip: DOB: SSN or Student ID:

Nursing EMS (please mark) Acid Reflux Diseases

1. A B C D 2. A B C 3. A B C D 4. A B C D E 5. A B

6. A B 7. A B C D 8. A B 9. A B 10. A B

You must obtain a score of 80% on the post test to receive 1.0 Contact hour for nursing or 1.0 CEH for EMS (OE). $5.00 fee. Submission deadline: June 15, 2012.

SubmissionDeadlineJune 15, 2012

Please help keep the continuing edu-cation article from going away by com-pleting and sending in your post test.

1-800-726-2585, ext. 5281

Dr. Wayne Monroe, DDS, has taken on the reins as Pro-gram Director of the new Den-tal Assistant program. Plans are hopeful to begin admitting students to the dental assist-ing program in the fall term of 2012.

Dr. Monroe earned his BA in Science from UNI and holds a Doctor of Dental Surgery from the College of Dentistry at the University of Iowa. He was previously self-employed with a dental practice in Ottumwa. Annie Morriss began her du-

ties as the new Program Di-rector for the Occupational Therapy Assistant program in October. Annie earned a BA in Psychology and an MA in Occupational Therapy from St. Ambrose University. She was previously employed as an Oc-cupational Therapist with Ot-tumwa Regional Health Cen-ter. Tammy Delker recetly moved into the position of Program Director for the Radiology Technology Program. Tam-my started with Indian Hills in 2005 as a classroom and clini-cal instructor for the Rad Tach Program before accepting this new position. Please welcome all to their new positions!

New Health Occupations Program Directors

Heidi Jones, long time Program Director for the Health Information Technology programs at Indian Hills was recently appointed as one of the two department chairs for the Health Occupations division. In her position Heidi will oversee the degree health programs and will work closely with

Heidi Jones Selected as Health Occupations

Department Chair

the program directors for those programs. Heidi has worked at Indian Hills for 22 years and brings a wealth of knowledge and exper-ience to the Department Chair po-sition.

Remodeling Work Begins on Dental Lab and RESTC Classroom Building Recent work started on two Indian Hills remodeling projects will benefit the Health Occupations division. Since the completion of the RHEC building in 2007, space on the lower level of the building designated for dental labs has sat undeveloped and idle. Plumbing, dental chairs and equipment needed for the lab is expensive but a small grant received from Delta Dental will help kick off work to create the dental laboratory areas. Work is slated to be done in time for admission of students to the new dental assisting program in fall of 2012. Completion of the RESTC was phase I of the overall project. Now that the RESTC facility is complete,

Phase II will include the addition of rescue props placed in the periphery of the building. Props may include combine rescue, propane storage, tractor rollover and confined space rescue. It is expected that most of the props will be donated or built by IHCC’s RESTC instructors. Phase III includes remodeling the nearby former horticulture building for classrooms, bathroom/locker rooms and storage space. Work began on the building in October and should be completed by late winter. In the picture to the right, the build-ing’s exterior has been repainted, windows replaced and the build-ing has been gutted to allow for the interior remodeling.

Before....

In progress....

Dr. Monroe Annie Morriss Tammy Delker

The BLAST Babysitting course will be held 9am-3:30 pm Tuesday, March 20 and Wednesday, June 6. See page 17 for more informa-tion. Seating is limited.

Indian Hills Community CollegeRural Health Education Partnership655 Indian Hills Drive, Bldg # 21Ottumwa, IA 52501

NON PROFIT ORG.U.S. POSTAGE

P A I DOTTUMWA, IOWAPERMIT NO. 221

* * * * * * * * * * * * * * * * * * * * * * * * * * *

Make RHEP your facebook friend! Just search for “RHEP IHCC” and request to be our friend. Notice and reminders about upcoming classes and events will be posted.

Return Service Requested

Advanced Wound Care & Hyperbaric Medicine Feb. 2, 12 pm-3 pmWapello County EMS Saturday- Pediatrics Feb, 4, 8 am-3:30 pmIHCC Regional Fire School Mar. 10-11 Personal Safety for Healthcare Providers March 30, 9 am-12 pmIHCC Annual Divesity Conference April 13 Coaching Boys into Men, Girls into Women April 20, 9 am-4 pm Pain Management in the Complex Patient May 4, 8:30 am-3 pmShoulder Specifics May 20, 5:30-9:30 pm, May 21 8:30 am-3 pmThe Many Facets of Hoarding June 1, 9 am-4 pm

Information about all of the above workshops can be found inside.

Upcoming Conferences

Follow RHEP on Facebook!

Mark your

calendars

now!

indian hills community college · 2018-12-06 · ceh’s and contact hours for rhep sponsored...

Documents