The Nuka System of Care is a customer-owned approach
Cherokee Indian Hospital Authority (CIHA) have used to transform healthcare and improve
the patient outcomes. I have learned that the community and elders have a
huge input in the way the healthcare systems are ran on the reservation. Building
the Cherokee Indian Hospital Authority, many opinions and ideas were considered
in bettering the healthcare process. They incorporated nature, family and
familiarity in the foundation of CIHA, thus making it unique and personable to
the community.
Today I had the opportunity to shadow the staff and
observe Geriatric Primary Care, as well as the Emergency Department. I was privileged
to interact with the certified nurse assistants, LPN’s, Primary Physicians, RN’s
and a dietitian. Everyone was so welcoming and willing to share their knowledge
and experience working at CIHA.
I love the atmosphere of CIHA! I immediately noticed the unique interaction
between staff and patients. They interact with professionalism, but most
importantly on a personal level. The differences, in my opinion is
communication. Almost everyone I spoke with, stressed the importance of family
and communication in this culture and I think the staff does a great job in accommodating
these beliefs and values. Other differences included the charting system, IV
pumps and morning huddle. The similarities I observed are quality patient care,
similar screens for the geriatric population, admission system and more. The CIHA
offers all necessary cares in one place, including dental and eye care. Alternative
medicines provided at the facility are acupuncture and yoga.
In addition to my clinical experience, my traveling class and I took a hike
to this amazing view.
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