Dispelling the Cloud of Cancer
October 01, 2017 – James G. Coe, Ph.D.
An Inspired Healer, Leader and Guide
September 30, 2017 – D.S.
Going the Extra Mile for Patients With Cancer
September 24, 2017 – Elaine Suva-Bongiovi
My Oncology Nurse, the Sunshine in My Life
September 23, 2017 – Arlene McGrotty
Learning a New Level of Gratitude as a Patient With Cancer
September 17, 2017 – Emerald Cromwell
More Than Just a Patient With Cancer
September 16, 2017 – Steve Messiter
An Extraordinary Nurse Gave My Husband an 11-Year Lifeline
September 03, 2017 – Mona Amundson
Come With Me on My Cancer Journey With Trish
September 02, 2017 – Stuart Kremer, D.O.
My Oncology Nurse Gave Me a Birthday to Remember
August 26, 2017 – Lydia Conroy
My Oncology Nurse Is a Soul Healer
August 28, 2017 – Kelley Kramer
A Saving Grace in Cancer Care
August 20, 2017 – Julie Cox
The Heart, Soul and Laughter of Healing
August 19, 2017 – Bobbie Chew Bigby
The Oncology Nurse Who Goes There
August 13, 2017 – Danielle Burgess
I Thought My Oncology Nurse Was an Angel
August 12, 2017 – Connie J. Trotter
Appreciating the Hardest-Working Oncology Nurse I Know
August 06, 2017 – Kevin Dimit
Restoring My Faith in Medicine — and Humanity
August 05, 2017 – Kalia Douglas-Micallef
Joy: An Oncology Nurse Who Fits Her Name
July 30, 2017 – Susan Edgington
Dealing With the Pride and Toughness of a Soldier With Cancer
July 29, 2017 – Carol Kelly
Sharing a Special Bond With a Remarkable Oncology Nurse
July 23, 2017 – Blake Peterson
Bringing Hogwarts to the Oncology Unit
July 22, 2017 – Debra Jacobs
Who Will Reduce Barriers to Cancer Care?
July 20, 2017 – Jill Vondrasek, MBA Marketing and Communications Director, Michigan State University College of Nursing
A Positive Guiding Light for Oncology Patients
July 14, 2017 – Mollie Maggied, M.H.A., B.S.N., RN, CPN, ATC Assistant Nurse Manager, Blood and Marrow Transplant Program, The Ohio State University James Cancer Hospital
Oncology Nurse Is in Tune With the Patient's Spirit
July 16, 2017 – Sherry Johnson, M.S.N., CPON, NE-BC Fundamentals of Magnet® Certificate Holder Director of Nursing Excellence St. Jude Children’s Research Hospital
Oncology Nurse Inspires Patients, Health Care Team
July 15, 2017 – Abbey Brockman, RN, B.S.N., OCN Nurse Manager, Westwood Exam/Radiation Oncology, University of Kansas Cancer Center
Putting Our Hearts Into Cancer Care
July 08, 2017 – Eileen Dwyer, RN
An Extraordinary Oncology Nurse: I Wish We Could Clone Her
July 01, 2017 – Jeffrey M. Farma, M.D. Associate Professor of Surgical Oncology, Fox Chase Cancer Center, Philadelphia
The Magic Fit of Oncology Nursing
June 25, 2017 – Fred Hardwicke, M.D. Hematology/Medical Oncology Fellowship Program Director, Texas Tech Medical Center — Department of Internal Medicine
My Charge Nurse, Teacher, Mentor, Co-Worker and Friend
June 24, 2017 – Geovanny Gomez, CNA Providence St. John’s Health Center, Santa Monica, California
Moving Mountains to Help Patients - and Staff
June 18, 2017 – Marci Dahl Office Manager, HMS Oncology
A Tireless Patient Advocate
June 16, 2017 – Svetomir Markovic, M.D., Ph.D. Mayo Clinic, Rochester, Minnesota
Extraordinary Healer of the Soul and Body
June 08, 2017 – Gwendolyn Brack
Oncology Nursing Is Not Just a Job, It's a Calling
June 02, 2017 – Ellijah Legaspi
A Lifetime of Impact for Patients With Cancer
May 26, 2017 – Andy Seibert
Caring for Patients Always, Always, Always with a Smile
May 26, 2017 – Jennifer Littke
A Life Devoted to Patients With Cancer
May 26, 2017 – AN INTERVIEW WITH JANET SCHADEE, M.S.N.
The Front Line of Urologic Cancer
May 23, 2017 – George J.S. Kallingal, M.D., M.P.H. Major, MC, USA Staff Surgeon, Urologic Oncology, Brooke Army Medical Center
When Children Are Her Job
May 21, 2017 – AN INTERVIEW WITH JESSICA KOBS, RN
The Hero I Needed During Cancer
May 20, 2017 – Jackson Pagel
Oncology Found Her
May 19, 2017 – AN INTERVIEW WITH SARA SARGENTE, RN, OCN
Helping Patients Fight Cancer With All Her Heart and Soul
May 13, 2017 – Jayne O’Malley, RN, B.S.N., OCN Lung Cancer Patient Navigator and Manager of Navigation Services, Orange Regional Medical Center
Dispelling the Cloud of Cancer
October 01, 2017 – James G. Coe, Ph.D.
An Inspired Healer, Leader and Guide
September 30, 2017 – D.S.
Going the Extra Mile for Patients With Cancer
September 24, 2017 – Elaine Suva-Bongiovi
My Oncology Nurse, the Sunshine in My Life
September 23, 2017 – Arlene McGrotty
Learning a New Level of Gratitude as a Patient With Cancer
September 17, 2017 – Emerald Cromwell
More Than Just a Patient With Cancer
September 16, 2017 – Steve Messiter
An Extraordinary Nurse Gave My Husband an 11-Year Lifeline
September 03, 2017 – Mona Amundson
Come With Me on My Cancer Journey With Trish
September 02, 2017 – Stuart Kremer, D.O.
My Oncology Nurse Gave Me a Birthday to Remember
August 26, 2017 – Lydia Conroy
My Oncology Nurse Is a Soul Healer
August 28, 2017 – Kelley Kramer
A Saving Grace in Cancer Care
August 20, 2017 – Julie Cox
The Heart, Soul and Laughter of Healing
August 19, 2017 – Bobbie Chew Bigby
The Oncology Nurse Who Goes There
August 13, 2017 – Danielle Burgess
I Thought My Oncology Nurse Was an Angel
August 12, 2017 – Connie J. Trotter
Appreciating the Hardest-Working Oncology Nurse I Know
August 06, 2017 – Kevin Dimit
Restoring My Faith in Medicine — and Humanity
August 05, 2017 – Kalia Douglas-Micallef
Joy: An Oncology Nurse Who Fits Her Name
July 30, 2017 – Susan Edgington
Dealing With the Pride and Toughness of a Soldier With Cancer
July 29, 2017 – Carol Kelly
Sharing a Special Bond With a Remarkable Oncology Nurse
July 23, 2017 – Blake Peterson
Bringing Hogwarts to the Oncology Unit
July 22, 2017 – Debra Jacobs
Who Will Reduce Barriers to Cancer Care?
July 20, 2017 – Jill Vondrasek, MBA Marketing and Communications Director, Michigan State University College of Nursing
A Positive Guiding Light for Oncology Patients
July 14, 2017 – Mollie Maggied, M.H.A., B.S.N., RN, CPN, ATC Assistant Nurse Manager, Blood and Marrow Transplant Program, The Ohio State University James Cancer Hospital
Oncology Nurse Is in Tune With the Patient's Spirit
July 16, 2017 – Sherry Johnson, M.S.N., CPON, NE-BC Fundamentals of Magnet® Certificate Holder Director of Nursing Excellence St. Jude Children’s Research Hospital
Oncology Nurse Inspires Patients, Health Care Team
July 15, 2017 – Abbey Brockman, RN, B.S.N., OCN Nurse Manager, Westwood Exam/Radiation Oncology, University of Kansas Cancer Center
Putting Our Hearts Into Cancer Care
July 08, 2017 – Eileen Dwyer, RN
An Extraordinary Oncology Nurse: I Wish We Could Clone Her
July 01, 2017 – Jeffrey M. Farma, M.D. Associate Professor of Surgical Oncology, Fox Chase Cancer Center, Philadelphia
The Magic Fit of Oncology Nursing
June 25, 2017 – Fred Hardwicke, M.D. Hematology/Medical Oncology Fellowship Program Director, Texas Tech Medical Center — Department of Internal Medicine
My Charge Nurse, Teacher, Mentor, Co-Worker and Friend
June 24, 2017 – Geovanny Gomez, CNA Providence St. John’s Health Center, Santa Monica, California
Currently Viewing
Moving Mountains to Help Patients - and Staff
June 18, 2017 – Marci Dahl Office Manager, HMS Oncology
Extraordinary Healer of the Soul and Body
June 08, 2017 – Gwendolyn Brack
Oncology Nursing Is Not Just a Job, It's a Calling
June 02, 2017 – Ellijah Legaspi
A Lifetime of Impact for Patients With Cancer
May 26, 2017 – Andy Seibert
Caring for Patients Always, Always, Always with a Smile
May 26, 2017 – Jennifer Littke
A Life Devoted to Patients With Cancer
May 26, 2017 – AN INTERVIEW WITH JANET SCHADEE, M.S.N.
The Front Line of Urologic Cancer
May 23, 2017 – George J.S. Kallingal, M.D., M.P.H. Major, MC, USA Staff Surgeon, Urologic Oncology, Brooke Army Medical Center
When Children Are Her Job
May 21, 2017 – AN INTERVIEW WITH JESSICA KOBS, RN
The Hero I Needed During Cancer
May 20, 2017 – Jackson Pagel
Oncology Found Her
May 19, 2017 – AN INTERVIEW WITH SARA SARGENTE, RN, OCN
Helping Patients Fight Cancer With All Her Heart and Soul
May 13, 2017 – Jayne O’Malley, RN, B.S.N., OCN Lung Cancer Patient Navigator and Manager of Navigation Services, Orange Regional Medical Center
Implementing Standards of Care in Radiation Dermatitis Prevention
July 02, 2017 – Mario Lacouture, M.D. Director, Oncodermatology Program, Memorial Sloan Kettering Cancer Center, New York

Moving Mountains to Help Patients - and Staff

An Extraordinary Healer essay honoring IVY BREWSTER, RN, OCN [CHARGE NURSE, ST. JOSEPH HEALTH, HUMBOLDT PEALS FAMILY CHEMOTHERAPY OUTPATIENT CENTER, EUREKA, CALIFORNIA]
BY Marci Dahl Office Manager, HMS Oncology
PUBLISHED June 18, 2017
Marci Dahl and
Ivy Brewster, RN, OCN
PHOTOS BY JULIE BRANSON
Marci Dahl and Ivy Brewster, RN, OCN PHOTOS BY JULIE BRANSON
Over the course of the past two years, our chemotherapy department and our patients have been through mergers and continuous change on the business side of oncology health care. This has ultimately led to a stronger, better oncology department, but has put some of our most vulnerable patients in a quandary about where to get their treatment and which practitioners to follow. This is doubly impacted when you consider the remoteness of our North Coast California community and how the barriers to care, transportation and roads, as well as severe weather, can impact what are routine logistics for other communities.

Even though we are located in an isolated and rural environment, we are accredited by the Commission on Cancer at the comprehensive community cancer center level. We follow national guidelines here at St. Joseph Health, and we offer comprehensive medical oncology services to treat cancer using chemotherapy, hormonal therapy, immunotherapy and targeted therapy at our outpatient clinic, where Ivy is charge nurse. We provide patients and their families with stateof- the-art treatment options that take advantage of advanced techniques in medical oncology available to treat cancer. We also have a robust clinical research program, including participation in national clinical trials that are available to patients with certain conditions. We see over 1,000 patients each month at our chemotherapy clinic.

Ivy Brewster runs our busy chemotherapy center with all of our patients’ best interests at heart. This was especially true for an anxious patient with stage 4 breast cancer who was so troubled by the changes in practitioners and businesses that she decided to go out of the area to stay with her medical oncologist of preference. This is the patient’s choice — and very difficult to coordinate. Not just for continued coordination of care and treatment, but this choice meant commitment to a five-hour drive (one way), and was often fraught with natural and man-made complications.

With Ivy’s assistance, this patient was able to continue chemotherapy here at home with a local medical oncologist cooperating with the out-of-area oncologist of the patient’s preference. This significantly impacted the patient’s experience by allowing her to stay here for the treatment portion of her care.

The main reason this patient felt comfortable continuing treatment at home was because of the special bond she had with Ivy. What this patient does not realize is that this is not just a special bond between her and Ivy; this is how Ivy makes everyone feel — including our entire staff and physicians! Talking to Ivy, you feel as if your concerns are hers, and that she will move mountains to help you.

If patients or our staff members have any problems, they know they can go to Ivy and she will straighten it out. Every day she is at the chairside helping patients navigate and clarify whatever they are in need of. Often, this involves asking the doctors questions that patients are unable to voice, and Ivy gets in there and advocates for them. She always finds ways to figure it out, leaving everyone satisfied on the receiving end.

Some leaders are in place by where they are listed on the organizational chart or by how many initials are listed after their last names. Ivy is the colleague we all look to for leadership because it comes from within her, no matter what her title.

Ivy always knew she would be a nurse, but it wasn’t until her fourth year of nursing school, when she worked on an oncology floor, that it all clicked for her and she found her passion. After spending time on the oncology unit, she was hooked. Ivy loved the patients, and spending time with them fed something deep in her soul.

As Ivy’s career progressed, she moved through acute oncology to a private chemotherapy office practice, and now leads here at SJH Health as our outpatient chemotherapy charge nurse.

While the day-to-day details of oncology can be overwhelming at times, Ivy is where she belongs. Her career and her heart are in oncology, and it must have been divine intervention that led her to us. She was born to be here and working and serving in our rural community.
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