Altru’s Behavior Standards: Meaningful and Team

Each one of us has the power to help patients get well. Patients need our knowledge and our emotional support throughout their time with us. They need to know they can trust us and depend on us. Living out Altru’s Behavior Standards is a good place to start. Making these standards part of how you live your life will take time. However, it will become easier with practice. The important thing to remember is that we treat the patient, not the problem.

Meaningful: We will provide an exceptional patient experience. 

  • I will treat each person as an individual and remember a healthcare experience is not routine or comfortable for everyone.
  • I will demonstrate that “I have the time.”
  • I will be mindful of my tone of voice and convey that I am trying to understand.
  • I will keep others informed.
  • I will be compassionate and recognize that everyone is important.

700x700_Treat Each OtherMeaningful in Action
A few months ago, Altru dietitian, Janelle Olson, gave one patient a day he will never forget.

An older gentleman came in for his regular dialysis treatment. The patient was a former farmer and wasn’t enjoying the long periods of sitting and watching TV. After getting to know him, Janelle learned of his love for farming. She purchased a custom combining documentary. He watched the documentary during his next appointment and told the nurses it was a highlight of dialysis!

Janelle acknowledged he was a person and not just a patient. She gave him a world-class care experience and changed his view of his dialysis appointments. Janelle demonstrated how to provide a meaningful experience.

Here are some other examples of meaningful:

  • Think before you speak. How will your words impact the person listening?
  • If you think a project will not be completed by deadline, update the appropriate person with your progress. Explain how you will work to accomplish the task.
  • Demonstrate compassion. If you notice a co-worker or patient is having a tough day, ask how he or she is doing. Be willing to listen, even if you have a busy schedule.

Team: We will work together to deliver world-class care.

  • I will be committed to the success of my team.
  • I will seek consensus with my teammates and openly support decisions.
  • I will display energy and enthusiasm and bring all my talents to the table.
  • I will be flexible when faced with change in my work environment.

The next behavior standard is team. Visualize the human body. Each part has a specific and important role. If one part suffers, the whole body suffers. Think of Altru in the same way. Each one of us is integral in the function of the system. If one of us doesn’t do our part, the whole system suffers. In the same way, if we each work together and support one another, the body prospers.

700x700-FB-_AmbulanceTeam in Action
In 2014, Altru’s ambulances responded to 7,335 calls for service, including the healthy delivery of four babies outside of the hospital. Responding to emergency situations requires excellent teamwork in the field and in the emergency room. In these instances, teamwork extends beyond our staff to include community agencies and other emergency personnel.

Here are some other examples of team:

  • If a co-worker has a new idea, support it.
  • During meetings, be excited and curious. When someone is speaking, show interest and nod. Show you are listening, not just hearing, by displaying attentive body language, providing feedback and responding appropriately.
  • Accept each other’s differences. Each person brings different talents and experiences to the table.
  • When something unexpected happens, take a deep breath. Think before reacting.

Each of us is important in a patient’s healthcare experience. Although some of us might not directly care for the patients, we still are important to the success of the team.

Learn more about Altru’s Behavior Standards.

See also:

Nancy HansonNancy Hanson, manager of patient relations, oversees service and the patient experience. Outside of the office, Nancy enjoys many different sports, photography and, when time, reading a good book. 

 

 

 

AudreyAudrey Lorenz, strategic planning lead within Altru’s Corporate Development, has been with Altru for 26 years. Within her role, she focuses on business strategic planning and brand management. During her free time, Audrey enjoys being with her husband, two daughters and 12 dogs. She enjoys running, decorating and doing yard work.  

Ready to Quit Smoking? Enlist Help from a Tobacco Cessation Specialist at Altru

700x700-FB_ready-to-quitAre you or a family member feeling the urge to snuff out that butt for the very last time? A certified tobacco cessation specialist may be the ticket to a smoke-free life.

Dependence on nicotine is an addiction, which often makes tobacco cessation more challenging than engaging in other behavior modifications, such as starting an exercise program or eating more fruits and veggies.

Amanda Dudgeon, NP and certified tobacco treatment specialist at Altru, shares real questions, real answers about quitting tobacco for good.

Why should someone seek help from a certified tobacco cessation specialist?

  • Certified tobacco cessation specialists understand the brain chemistry changes that are involved in addiction and have received special training to assist patients with conquering addiction. Assessing and understanding individual triggers is an important component of treatment.
  • At Altru, we create an individualized plan for each tobacco user’s unique situation and triggers, and provide the reinforcement needed to be successful. 

What methods do you use during treatment?

  • Using the cognitive behavioral approach to self-talk is key. Thinking or talking to yourself in situations that trigger you to use tobacco is a necessary component to get past those urges. Saying to yourself, “Smoking is not an option”, or “I can do this” may be the self-encouragement required to get past bumps in the road to ending your addiction.
  • Alter routines and use problem solving skills to identify situations that could put you at risk of relapse. Certain places and times of the day can create extreme urges to use tobacco. Breaking the old routine and making a new routine increases success rate.

E-cigs are popular right now. Are they a healthy alternative to smoking other forms of tobacco?

  • The compositions of e-cigs are all different. They are not regulated by the FDA and are known to contain additives and impurities. Some contain cytotoxins and carcinogens, as well as varying amounts of nicotine. I do not recommend them due to the lack of evidence for safety. 

Why quit?

  • The health benefits of quitting tobacco are endless. As a provider, I see many people suffering from COPD. The feeling of not being able to breathe can be terrifying. Quitting smoking reduces this risk. Many develop lung cancer as a result of smoking. These people often have a difficult time with treatment and suffer significantly. I also see cancer of the mouth, esophageal, gastric and other cancers. If I can help someone quit early, his or her risk of developing these diseases decreases significantly.

It’s never too late to quit. When you’re ready, we’re here. Smoking can lead to a number of serious health problems, from cancer to heart disease. Quitting the habit can foster both immediate and long-term health benefits.

Decide that you deserve to be healthy. Quit smoking aids are available to those who financially qualify through Altru Health Foundation. Request an appointment with a certified tobacco treatment specialist today for a smoke-free tomorrow. Learn more at altru.org/quit. 

Dudgeon, AmandaAmanda Dudgeon is a family nurse practitioner and certified tobacco treatment specialist at Altru Cancer Center. In addition to seeing patients for rechecks and tobacco cessation, Amanda implements the Survivorship Program. Outside of spending time with her husband and two children, she enjoys playing basketball and softball.

Celebrating 1,000 Cranial Shaping Helmets at Altru

1000th HelmetSince 2007, Altru’s Prosthetics and Orthotics has shaped the heads of 1,000 local babies.

Thanks to generous donor gifts, Altru Health Foundation provided funds for the purchase of a STARscanner™, the only one of its kind in North Dakota. The scanner quickly collects accurate head shape data for the creation of cranial shaping helmets, custom headgear that guides skull growth. About two weeks later, the helmet is ready for the first fitting.

Unusual head shape often appears in the first months of life. Causes include the position of the baby during pregnancy, the birth process or the baby’s preferred sleeping position.

Why are helmets necessary?
Cranial shaping helmets are not experimental or cosmetic. They are medically necessary. Improper head development can have lifelong effects including:

  • poor jaw function,
  • middle ear infections,
  • migraine headaches,
  • vision problems and
  • facial asymmetry.

“This is about as close to a ‘cure’ as we can get,” explains Steve Sattler, certified orthotist. Helmets are most effective during the first year when a baby’s head grows rapidly.

Photo Contest
Have you personally experienced cranial shaping helmets at Altru? From April 23-30, 2015, visit Altru Health System’s Facebook page to participate in the #1000Helmet photo contest. Here’s how it works:

One entry per person. We reserve the right to remove any photos we feel are inappropriate. By posting your photo, you are also agreeing to let us share it as the winning photo.

If you’re wondering if your child needs a helmet, discuss your concerns with your child’s doctor. To learn more about cranial shaping helmets at Altru, call 701.780.2424.

See also:

Looking Back: Making Healthcare History in Grand Forks

looking-backLast spring, we made history by opening the second hospital in Grand Forks since 1976: Altru Specialty Center. As we celebrate its one-year anniversary, let’s take a look back at the past year and forward into the future.

Altru Specialty Center, part of South Washington Medical Park, features four operating rooms and 45 private beds dedicated to elective orthopedic and podiatry surgeries, Joint Replacement Center and inpatient rehabilitation. The 91,042-square-foot space is the only hospital of its kind in eastern North Dakota to offer single specialty care under one roof.

It’s All about Our Patients
We brought together rehabilitative services and orthopedics care in a dedicated facility to meet the needs of our patients. Altru’s Joint Replacement Center has impacted our patients’ lives for the better: Ralph went deep sea fishing with new shoulders; Dan enjoyed hunting season with a new knee; Sandy reenergized her teaching career with a new knee.

Other patients shared these comments:

  • “The new space is beautiful. And the people here—they’re just wonderful.”
  • “It feels like more of a hotel stay than a hospital stay. I loved it.”
  • “Thank you from the bottom of our hearts for the excellent care, compassion and outstanding care you gave.” 

Space to Grow and Heal
Moving specialties to South Washington Medical Park freed up space at Altru Hospital on our Columbia Road Campus. Additional space allowed us to provide for more patients and complete our conversion to private (and some semi-private) rooms. Private rooms promote healing by offering a more comfortable environment.

Currently, five of 11 operating rooms in Altru Hospital are temporarily closed for remodeling as we upgrade technology and equipment. Having additional operating rooms available in Altru Specialty Center has helped us to continue serving patients in a timely fashion. Because of this, patients will not notice a delay in surgery time.

New space has also allowed us to accommodate physician growth and offer expanded access to specialized services. For example, Dr. Jeremy Gardner, through the Joint Replacement Center, is the first in North Dakota to offer anterior approach to hip replacement. This alternative technique reduces pain and minimizes muscle damage, resulting in a swifter recovery and shorter hospital stay. Additionally, Dr. Darin Leetun offers cartilage restoration as an alternative option prior to joint replacement (read about Sydney’s experience here).

Looking Forward
Altru Advanced Orthopedics will complete its move to South Washington Medical Park in late summer, when our new orthopedic clinic opens its doors in Altru Professional Center. We look forward to future growth of our orthopedics programming.

See also:

Brad WeheBrad Wehe is Altru’s Chief Operating Officer. In his free time, Brad enjoys fishing, hunting, skiing and racing.

Altru’s Behavior Standards: Acknowledge and Respect

Consistently applying a single set of behavior standards at Altru is an essential part of achieving our vision of world-class care. We reveal our culture through the experience we create for our patients and their families.

See Altru’s staff demonstrate behavior standards through a series of selfies. (Thank you to all employees who contributed to this video!)

Let’s take a closer look at two of the most basic standards: acknowledge and respect. 

Acknowledge: We will create a welcoming, healing environment.
Everything we do is about creating an exceptional experience for our patients. That means treating everyone well—including our co-workers. Our actions create ripple effects, and whether positive or negative, the ripples can be felt throughout the organization. What kind of ripple are you creating?

  • I will promptly greet people with a smile, give eye contact and use proper names.
  • I will walk a patient or visitor to where they need to go.
  • I will use AIDET – Acknowledge, Introduce, Duration, Explanation, Thank You.
  • I will be sure all my interactions focus on the patient or visitor.

Thank you

Here are some examples of acknowledge in action:

  • Paraphrase what the person just said to allow the person to be heard.
  • When you have someone’s time and attention, honor it with your presence.
  • Give others hope and inspiration through encouragement.
  • Stop talking about yourself. Instead, ask people about their lives.
  • Remember: the little things make a difference. Write the thank you, say good morning, give the compliment, flash the smile.

Respect: We will treat others with respect.
Webster defines respect as a feeling of admiring someone or something that is good or valuable and treating them appropriately. Every human wants to be treated as good or valuable. In a healthy workplace, respect should be given unconditionally, without regard to position, credentials or job title.

  • I will maintain confidentiality in all my interactions.
  • I will think before I speak and consider the impact of my words and actions.
  • I will be on time and be prepared.
  • I will always be polite and kind.
  • I will respect everyone’s differences.

Respect

Here are some examples of respect in action:

  • Encourage co-workers to express opinions and ideas. Use these ideas to change or improve work.
  • Listen to what others have to say before expressing your viewpoint.
  • Praise more frequently than you criticize.
  • Understand your triggers. Knowing what makes you angry enables you to manage your reactions and respond better.
  • Provide people with the tools, resources, training and information they need to be successful.
  • Demonstrate thoughtfulness, empathy and kindness.

In the coming months, stay tuned for additional examples of Altru’s Behavior Standards in action. Learn more about Altru’s Behavior Standards. 

See also:

Margaret ReedAs Chief Nurse Executive, Margaret Reed, RN, ensures standards of care and scope of practice for the entire health system, as well as operational responsibility of inpatient operations. In her free time, Margaret reads, oil paints and spends time with her family. 

 

 

 

Nancy HansonNancy Hanson, manager of patient relations, oversees service and the patient experience. Outside of the office, Nancy enjoys many different sports, photography and, when time, reading a good book.

Staying On Course: Tips for Golfing with Joint Pain

Staying on CourseProfessional golfer Phil Mickelson was preparing to compete in the 2010 U.S. Open when, unexpectedly, his joints started to ache.

When the tests came back, Mickelson learned he had psoriatic arthritis. Genetics, the environment, viruses and the body’s immune system are all factors that might cause psoriatic arthritis. Mickelson has been back on his professional golf game for several years, thanks to early diagnosis and treatment.

Many golfers are playing with pain, such as tendinitis, sore muscles and arthritis. Swinging a golf club requires moving at a very high speed in a short amount of time, increasing the risk of injury. We called on Dr. Jeremy Gardner of Altru Advanced Orthopedics to teach us where golfers are feeling the pain and how you can prevent it.

Golfing affects the entire body. Improper form can affect multiple joints, with special consideration for the lead wrist, elbow, shoulder, lower back, hips and knees. Swing alterations, such as a shorter backswing or proper weight shift, may decrease wear and tear on the body.

Keep in mind: it’s important to properly stretch and warm up before and after a round to reduce pain and injury. Stretching and strengthening can help keep you healthy and improve your game.

Here are some other injury prevention tips for different body parts.

Avoiding Common Golf Injuries

(Click to view larger.)

Next Steps
If you’ve tried these techniques and are still experiencing pain, it might be time to visit Altru Advanced Orthopedics. Altru’s experienced orthopedic providers can work with you to understand what’s causing your pain, and how to fix it. This might include physical therapy, or it could be time to consider joint replacement.

Altru now offers anterior approach hip replacement, which allows for a smaller incision and less damage to muscles, resulting in less pain and faster recovery. With proper recovery time and physical therapy, you can get back to the links sooner.

If your pain is shoulder-related, check out Dr. Leetun’s upcoming event on rotator cuff treatment options. Learn about options available to alleviate pain and help get you back in the game, April 27 at Choice Health & Fitness. Remembering the importance of swing plane (the angle at which you take back the club) can make all the difference. Dr. Darin Leetun will share specific golf-related technical tips to keep you swinging pain-free.

Rotator Cuff Injury Event

Golf is a great way to stay active. It’s beneficial for strength, balance, coordination and range of motion. If walking is a possibility, aerobic exercise improves the heart, lungs and muscles and helps with weight control, mood and sleep.

See also:

Dr. Jeremy GardnerDr. Jeremy Gardner is an orthopedic surgeon at Altru Health System. Board certified in orthopedic surgery, he specializes in joint replacement, including direct anterior approach to hip replacement, osteoarthritis, rotator cuff surgery and sports medicine. Outside the office, Dr. Gardner is an active golfer, runner and scuba diver. He also enjoys hunting, fishing and archery. 

2 Hours + 5 Recipes = Freezer Full of Altru Dietitian-Approved Meals

Collage - Freezer Friendly MealsI love food. If I had extra time in my day, I would probably spend it cooking for my growing family. However, as a full-time working mom, some days it’s a challenge to get a healthy supper on the table by 6 p.m.

With my first pregnancy, I was much more organized. I planned freezer cooking weekends and prepared about 20 meals for maternity leave.

Now, with a busy, bubbly toddler, life is a little different as we await the arrival of our second child. When I heard about Freezer Friendly Meals with Altru Dietitians, I jumped at the chance to check “stock the freezer” off the baby to-do list.

Then vs. Now
Last time I did freezer cooking on my own, it was a tedious, well-thought-out process including:

  • Pick recipes
  • Create detailed shopping list (warning: this involves some math)
  • Grocery shop (don’t forget the disposable foil pans for easy heating)
  • Prepare ingredients and plan the day’s order of events
  • Find a free morning or afternoon to assemble meals
  • Last but not least: do the dreaded dishes

Needless to say, it’s a full Saturday project. In comparison, here’s all I had to do for Freezer Friendly Meals:

  • Spend two hours having fun with friends while assembling my family’s meals

That was it. All shopping and prep work was done before arriving at class. I didn’t even have to clean up!

Dietitian-Approved
Bonus: the meals were approved by Altru dietitians. Rather than serving my family processed foods like boxed mac and cheese and frozen chicken nuggets, I can serve whole grains, lean meats, calcium-rich dairy and just enough veggies to sneak past my picky three-year-old.

There were no “cream of” soups, which I so often find in favorite comfort foods passed down for generations. White pastas were replaced with healthier whole wheat. Some of the cheese was reduced fat, which we won’t even notice. The menu consisted of things my family will love, including:

  • Slow Cooker Chicken Philly Sandwiches
  • Taco Stuffed Shells
  • Ham and Cheese Sliders
  • One Pot Chili Mac and Cheese
  • Pizza Stromboli

I went home with 50 portions split into 10 meals. (A single person or larger family could portion the meals differently, depending on their needs.) Cost of the class, including food, was around $200. Having healthy meals in my freezer ready to go without all the hassle: priceless.

April’s workshop theme will be International Delights, featuring a variety of exciting ethnic dishes. Registration is required and available until Friday, April 17, at 5 p.m. Backyard Picnics is the theme for May (see the menus here). 

To register, call the Sanny & Jerry Ryan Center for Prevention & Genetics at 701.732.7620. For future class dates, visit altru.org/freezermeals. 

See also:

Angie LaxdalPart of Altru’s public relations team, Angie Laxdal grew up on a farm near Crystal, ND. An advertising graduate of NDSU, she specializes in writing and social media. Beyond the office, Angie enjoys reading, running and dreaming up home DIY projects.

What if you had Hepatitis C and didn’t know it?

Hepatits C“She turned bright yellow,” he said. “It was the scariest thing I’d ever seen.”

Gerald “Jerry” Kagg first learned about Hepatitis C when his then-girlfriend was diagnosed. Hepatitis C is a liver disease caused by the hepatitis C virus (HCV) that causes the liver to swell and prevents it from working well. Symptoms may include fever, fatigue, dark urine, nausea and loss of appetite, and as Jerry had witnessed, yellow discoloration of the skin and eyes.

Treatment was sought from Kamrin Macki, NP with Altru’s Gastroenterology. During treatment, Jerry’s relationship ended. A friend suggested Jerry get tested for Hepatitis C. “He said, ‘Do you realize what she had? You could have it too.’ I felt fine, though. I told my friend that if I turned yellow, I’d go in.”

Scary advertisement
Working in construction, Jerry often flew to various job sites. In one in-flight magazine, Jerry saw an ad that showed a person with bruises and the words: “You might have this and you don’t know it.” Further review of the ad showed it was promoting Hepatitis C screenings.

“It kind of dawned on me,” said Jerry. “Maybe I should go in and get tested.” He did so upon his return to Grand Forks. Five days later, he received a letter stating he tested positive for Hepatitis C. Immediate treatment was recommended.

“Five days after I got the letter, I was headed to a construction site in San Francisco,” he recalls. “I was feeling great and wasn’t showing any symptoms. I told myself I’d take care of it when I got back.”

Care planning
Time passes and Jerry starts having pain in his feet. He visits with a provider and in reviewing his medical history, it’s determined this joint pain could be related to Jerry’s Hepatitis C diagnosis. Jerry is sent to Altru where he meets with Kamrin.

“We sat down and she explained where things were at,” Jerry said. “She asked why when I had received the letter a few years ago I hadn’t come in for treatment. I guess I figured since I didn’t have symptoms, I didn’t need to be treated. I was wrong.”

Kamrin evaluated Jerry’s condition and established a care plan for him. “She wrote letter after letter for me, working with the pharmaceutical companies to get me the medications I needed,” he said. “If it hadn’t been for her, I wouldn’t be here today.”

“Hepatitis C is treatable with well-tolerated antiviral therapies,” explains Kamrin. “Current regimens offer 95-99 percent success/cure rates. About 25 percent of people with acute HCV exposure fully recover from it, while the remaining 75 percent develop long-term or chronic HCV.”

Get tested
While Jerry’s Hepatitis C has been treated, the damage it caused to his liver will be life-long. “It’s not like a tumor, where part of it can be removed. It’s all over my liver,” he said.

“Hepatitis C is scary,” he continued. “The scariest part is that you might have it and not know it. It’s important that everyone at risk gets screened. And if you do test positive, listen to the providers and start treatment immediately. They know what they’re talking about.”

Hepatitis C: Should I get tested?

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Creating a Culture of High Reliability at Altru

High reliabilityIt has been well over a decade since the Institutes of Medicine published, “To Err is Human: Building a Safer Healthcare System,” sending reverberations through the healthcare community that can still be felt today. This groundbreaking report called attention to the devastating harm that can be caused by medical errors. It was a call to action for provider organizations to radically improve the safety and reliability of medical processes.

In the years since, “To Err is Human…”, healthcare organizations have increasingly drawn from the lessons of other high-safety impact industries to reduce risks. A couple of notable examples are the aviation and nuclear industries, where aggressive safety improvements have accounted for a more than 90 percent reduction in safety-related events. In each of these cases, high reliability was achieved by carefully analyzing sources of error and engineering systems to prevent them from occurring, even when unexpected things happen.  

At Altru, we’re applying those same high reliability concepts to the care that we give every day. Delivering the safest care possible is the very foundation of World-Class Care. But the journey doesn’t end there. Along the way, we’ve discovered that the techniques used to provide consistently safe care are the very same tools that can be used to ensure consistently high quality care and a consistently excellent patient experience.

The idea behind this is simple: as we design the best care processes possible, we engineer into them mechanisms to make sure they deliver what they’re supposed to every single time, without exception. We have clear standards and resilient processes that prevent errors and other failures.

Our goal is to consistently deliver the best care to our patients and community. We are committed to achieving nothing less than World-Class Care.

See also:

Dave MolmenDave Molmen is Altru’s Chief Executive Officer. In his free time, Dave enjoys music, wood-working and cycling. 

Lifestyle Tips for Coping with Psoriasis

PsoriasisPsoriasis is an autoimmune disease that causes thick, red, scaly patches on the skin. One third of people with psoriasis have a family history of it. Over three percent of the population develops psoriasis, and up to 11 percent of psoriasis patients have been diagnosed with psoriatic arthritis.

The disease can show up anywhere on the skin and nails, and each area of the body requires different treatment. Psoriasis can often affect the elbows, knees, hands, feet and scalp. Common triggers for psoriasis include: infections, certain medications, stress and injury to the skin. Many people report that it worsens in the winter. It is not contagious.

Jennifer Tinkler, dermatology FNP, shares strategies for coping with lifestyle changes of psoriasis.

1. Controlling stress may help psoriasis. Many people with psoriasis claim stress makes it worse. At the same time, a psoriasis flare can increase stress. Inflammation is the body’s way of coping with stress. Learn to manage stress effectively with meditation, exercise, or consider attending a class or seeing a therapist who specializes in stress management.

2. Dietary changes may help psoriasis. A healthy diet can help your body function at its highest level, reduce comorbidity and improve a person’s metabolic profile. Research in the relationship of diet and psoriasis is ongoing.

3. The itch of psoriasis may have a bigger impact on quality of life than the visible effect of the disease. Itch can cause lesions. At-home remedies include:

  • Keep skin moisturized. Even better: cool moisturizer in the fridge prior to use.
  • Cold showers and cold packs can offer relief.
  • Avoid hot showers and limit showers to 10 minutes or less.
  • Apply moisturizer after a shower or bath.
  • Antihistamines and prescription treatments can also help.

4. Psoriasis may impact your relationships, but it does not have to control them. It can be difficult to talk to friends and family about your psoriasis and how it affects your life. Connect with other people living with psoriasis at TalkPsoriasis.org.

5. Treatment is different for each area of the body and each of the five types of psoriasis: plaque, guttate, inverse, pustular and erythrodermic. Treatment often involves shampoos, salicylic acid, tar preparations, prescription creams, solutions and ointments, light therapy or laser treatment and prescription medications taken orally or by injection.

Seeking an expert’s opinion is the best way to determine the next step in treating psoriasis. Truyu expert providers in dermatology work closely with Altru Health System providers to offer a wide range of dermatology services, providing comprehensive and continuous care. Schedule a consultation through MyHealth or call 701.780.6623. 

Tinkler, JenniferJennifer Tinkler, FNP-C, provides expert dermatology services at Truyu Aesthetic Center in Grand Forks and East Grand Forks. Jennifer is a member of the National Psoriasis Foundation and Dermatology Nurse Practitioner Society. In her free time, she enjoys gardening, reading and spending time with her family.