My Scope of Practice

Growing Through Her Partnerships

There is no peace among equals because equality doesn’t exist in the universe. Either one prevails and the other follows, or both negotiate their differences and create a greater partnership. – Harold J. Duarte-Bernhardt

  Throughout her career as a nurse, clinical nurse specialist and wound, ostomy, continence nurse, partnerships have been important to Mary Arnold-Long, MSN, RN, CRRN, ACNS-BC, CWOCN-AP.

  Arnold-Long had chosen to work for the Franciscan Health System of Greater Cincinnati, OH, partly because of their mission: the healing ministry of Jesus Christ. Nineteen years ago, after working for this system for nearly 14 years, Arnold-Long and colleague Rita Pochard were offered the opportunity to attend an Enterostomal Therapy Nursing Education Program (ETNEP). Arnold-Long studied at Abbott Northwestern Hospital, Minneapolis, MN; Pochard, at the Cleveland Clinic. They benefited from sharing different learning and clinical experiences. Shortly after they received certification in 1994, their healthcare system reorganized. Pochard chose to work for the system’s home health agency; Arnold-Long relocated to Indiana.



Carpe Diem in Practice

Time is a wheel in constant motion, always rolling us along. Tell me, who wants to look back at their years and wonder where have those years gone? — Lee Ann Womack

  Carole Bauer, MSN, ANP-BC, OCN, CWOCN, intends to visit all of the national parks in the US. She already has hiked Isle Royale National Park in Michigan and to the base of the Grand Canyon with her husband, Mark, and son, Ryan. With 28 parks left to cross off her list, Carole isn’t wasting any time making her dream a reality.

   “Probably the most important lesson that comes from working with cancer patients with wound, ostomy, and continence issues is that you should not put off enjoying life for all it is worth, because you don’t know what life will bring you if you wait,” she says.

  Carole has dedicated much of her time and career helping patients diagnosed with cancer. She began her work at the oncology inpatient program in Detroit’s Harper Hospital before becoming a high tech home care RN for the Michigan Cancer Foundation Home Care Program in 1983. It was during this time that Carole developed a passion for wound, ostomy, and continence nursing. Inspired by Christine Rymal, a WOCN with whom she had worked closely, Carole decided to further her education in this specialty.



Assimilating History and Industry into Patient Care

Every accomplishment starts with the decision to try. The only failure is not to try. — Unknown

  Did you know that more than 5,000 years ago, ancient cultures used onion stems and reeds for intermittent catheterization? Or that pomegranates were used in the Middle Ages as pessaries to hold a prolapsed uterus in place?

  For Margaret Willson, MSN, RN, CWOCN, these facts serve as a reminder that no matter how accomplished one becomes, there is always something new to learn, because managing continence care is always evolving. “The more you know, the more you don’t know. Learning is a lifelong work in progress,” Midge, as her friends call her, says.



A New Director to Foster Hope

Give a man a fish and you feed him for a day. Teach a man to fish and you feed him for a lifetime. — Proverb

  There’s a dirt road in Haiti that leads to a place unlike any other on the small island. It may look like your run-of-the-mill road, but it’s not. Past the street vendors hawking their goods and through the dust clouds kicked up by passing cars lies something extraordinary. Down this dirt road lies hope.

  This is a street John Macdonald, MD, FACS, has driven many times. Just 15 minutes from the small airport in Port-au-Prince along this uneven, pot hole-ridden path, he arrives at his destination — the Project Medishare facilities.



The Growth of a Specialty… and a Professional

Never become so much of an expert that you stop gaining expertise. View life as a continuous learning experience – Denis Waitley, motivational speaker and author

  For Phyllis Kupsick, RN, MSN, FNP-BC, CWOCN, there’s always room for improvement. For this President-Elect of the Wound Ostomy Continence Nurses Society, the last 36 years have been spent growing and evolving right along with the WOC nursing field. And just like this specialty, Phyllis continues to move forward, changing the lives of her patients along the way.

  Phyllis’ career started in 1975, 3 years before the Wound Ostomy Continence (WOC) Nursing Certification Board was formed. At that time, the young Licensed Practical Nurse, a recent graduate of the Stanly Technical Institute (Albemarle, NC), wasn’t yet sure in what area of expertise she would practice, although she knew her potential was limitless.



My Scope of Practice: The Heart and Soul of Determination

  Nothing is an obstacle unless you say it is. – Wally Amos, founder of Famous Amos cookies

  Christy Kroboth, CRNP, WOCN, is not the type of person to let situations get the best of her. She began her medical career when she was 15 years old, working as a first aide assistant at the volunteer fire department where her stepmother was an EMT and her father an ambulance driver. Christy then attended EMT training. Upon graduating from high school and before becoming a certified EMT, Christy joined the Air Force and served as a medical technician stationed on Andrews Air Force Base (Prince George’s County, MD). This, she says, is where her nursing career began.



My Scope of Practice: Following Her Calling to Wound Care

  Aletha Tippett, MD, is a wound consultant in solo practice and President of The Hope of Healing Foundation®, an organization dedicated to limb salvage and wound healing (visit: www.hopeofhealing.org/). Among Dr. Tippett’s more recent accomplishments was serving as Co-Director of the 2nd Annual Palliative Wound Care Conference, held June 10–11, 2011, in Cincinnati, OH. Like many other distinguished wound care peers, Dr. Tippett did not begin her career in this specialty—rather, she followed where she was led.



My Scope of Practice: A Champion for Health Literacy

Life's most persistent and urgent question is, What are you doing for others?
—Martin Luther King, Jr.



My Scope of Practice: Nursing Education is Fundamental

I am not a teacher; only a fellow traveler of whom you asked the way. I pointed ahead – ahead of myself as well as of you. —George Bernard Shaw

  Ottamissiah (Missy) Moore, BS, LPN, CLNI, WCC, CHPLN, is the definition of wound care education champion. Known throughout the Washington, DC metro area for providing exceptional care and advocating for education, Missy has been wound-certified for the last 7 years. It is evident she hit the ground running — and she hasn’t stopped.



My Scope of Practice: A Champion “Found” by Incontinence Care

If we are facing in the right direction, all we have to do is keep on walking. —Buddhist saying