August 2019 Newsletter

Firstat Nursing Services August Newsletter

August Newsletter

Read more about our transition into Axxess, our continued growth and development, new legislative issues that affect you, and more topics below...

As our organization changes and grows to better serve our patients, we want to hear from you if there is any support you need to be more efficient or effective in the wonderful services you provide to all of our patients.  ATTENTION HHA’s and caregivers!!... I, Jenifer OT, have met some of you in the field recently and wanting some ideas on things to do with some of your clients. Well, I have discussed with some of you a few ideas, but lets bring together our ideas. We will begin training with different topics every mandatory ALL STAFF IDT. So please make an effort to be her without fail every month! We also want to hear from you if there are continuing education topics that you would like to focus on or are interested in.

Now without further adieu, let me introduce and congratulate our EMPLOYEE of the MONTH...

Firstat Nursing Services August Employee of the Month

Sage Kipfer

Congrats Sage! We have seen all the hard work that you have been taking on lately. As we grow and develop new roles and adjustments in our office work flow, you have been a ROCK STAR! Thank you for all the hard work that you put in, and especially your customer service when on-call. You make our agency shine and are always professional in your encounters. Keep up the good work, we don’t know what we would do without you.


Anyone check out any of their local farmers markets yet?.. Always a great place to snag some fresh locally grown veggies, maybe some plants for the patio, food vendors, and other fun activities. Here are a few other fun events coming up soon on the MeetMinneapolis Summer Events Page found here: 

Summer X Games starting August 1-4th at various locations

  • World’s top action sports competition in Skateboarding, BMX and Moto

Minnesota Fringe Festival August 1st-11th

  • Featuring over 130 shows in the performing arts

Uptown Art Fair August 2nd-4th at the intersection of West Lake St and Hennepin Ave

  • Over 350 artists and 25 food vendors with several beer gardens

Powderhorn Art Fair August 3rd-4th

  • South Minneapolis art fair at Powderhorn Park

Open Streets 2019, Northeast Minneapolis Sunday August 4th 11am-5pm

  • Residents and visitors can explore their neighborhood closing major streets

Twin Cities Polish Festival August 9th-11th SE Main Street, Minneapolis

  • Celebration of Polish culture and heritage. Food, dance, and music!

Minnesota Renaissance Festival August 17th-September 28th (weekends only)

  • 16 stages of entertainment and over 250 artisans

Como Park Japanese Obon Festival August 18th 3-9pm at Como Park Zoo & Conservatory

  • Bonsai, martial arts, singing, dancing, drumming, food and cultural exhibits

MINNESOTA STATE FAIR!!!! August 22nd-September 2nd

  • of course more food! YUM, I mean this is a fav every year!

Also notable to mention for August, its football Preseason time!! The MN Vikings schedule as follows:

  • Week 1 @ New Orleans Aug. 9th

  • Week 2 Aug 18th vs. Seattle Seahawks

  • Week 3 Aug 24th vs. Arizona Cardinals

  • Week 4 Aug 29th @ Buffalo Bills

August Month Observations: 

  • National Wellness Month

  • Spinal Muscular Atrophy Awareness Month

  • Children’s Eye Health and Safety Month

  • World Breastfeeding Week (Aug. 1–7)

  • National Health Center Week (Aug. 4–10)

  • August 1st is National Girlfriend Day 

  • National Beer Day and National Coloring Book Day August 2nd

  • August 9th is Book Lovers Day

  • International Peace Month

  • International Left-Handers Day August 13th

  • National Relaxation Day August 15th!! (sign me up)

  • August 16th is National Tell A Joke Day

  • August 21st is Senior Citizens Day

  • National Tooth Fairy Day August 22nd

  • National Immunization Awareness Month

  • Psoriasis awareness Month

  • National Waffle Day August 24th

  • National Dog Day and Women's Equality Day August 26th

  • Black Business Month

  • August 28th is National Power Rangers Day


Jenifer Baker

Dita Williams


Charles Weis 3 years of service!

Sage Kipfer 1 year of service!

DON Corner

by Laura Koester on July 30

During the month of July we began work towards the Axxess transition and we have successfully begun said transition.  It is really important to let us know if you are having difficulty, ask questions as you need to and not to be afraid to do so.  We recognize there is a learning curve. We are receiving more and more referrals, which is a very good thing!

 Jenni, RN Case Manager has been transferring clients into Axxess at their recertifications, so is a bit behind. Thank-you Jenni for working so incredibly hard to help with a smooth transition! We all need to have patience with one another during this transition time, as it can be somewhat frustrating at times. 

Once we are fully transitioned and you are more familiar with your charting, I believe everyone will be quite happy to be working in Axxess.  In the interim, watch your Careficient Notes, Gmail email and Axxess communication notes, as we are needing to use all three sources. 

We are also working towards survey preparation as the survey team from state could come in any time for our survey.  The PDGM training is also underway. Now that we are in Axxess, please take some time to review the training videos to help all of us to be most familiar with PDGM before that begins in January. Our goal is to be implementing PDGM in our office about October 2019, which would give us a good three months to ensure we are ready for that transition.

With summer really heating up as it has been the last few weeks, be sure you stay hydrated, use sunscreen, wear hats if possible to avoid skin damage.  Also, take some time to get in some good relaxation this summer! We all work really hard to take great care of our patients, so take care of yourself with some good periodic self-care! Enjoy the rest of summer, as back to school is already approaching.

REHAB Corner

by Jenifer Baker on July 30th

In July therapy picked up a bit and we were quite happy about that! Andy, PT and I also attended and hosted a booth at the Marketfest festival on July 18th in White Bear Lake. See the pics above on the first page :) We received a lot of great feedback and potential referrals from the event, so we are excited to see this come along. There were many people curious about home care and what our company was all about, lots of kiddos stopping by for a sweet treat as well! I would also like to note that our rehab team has officially grown! We have a long awaited Speech Therapist position filled with Anna who brings years of experience in healthcare and working with pediatrics and geriatric clients. We also bring an Occupational Therapist Zoe to the team to assist with my caseload as needed, which brings me a lot of relief as our department gets busier! Zoe received her Masters of OT in May of 2018 and is excited to get into home health care. More on them to come! Please welcome them as you see them in the office or out seeing clients.

I am also in charge of leading the PDGM implementation process, with this comes a lot of training. These will be implemented in our upcoming IDT and mandatory all staff meetings dependent on who the presented information will be relevant for. Please make every effort to come and be present during these times as this information and transition affects us all. Please refer to Axxess Help section for “support and training” > “training webinars.” These videos are very helpful in navigating through Axxess and learning the work flow processes. Go to for more info and training!!

HR Corner

by Brock Zeller on July 2

New Hires: Marie Tossa - HHA, Panny McCarthy - HHA, Tiffany Mapps - HHA, Stella Hewett - HHA, Susanna Fishlove - Speech Therapist, Zoe Verkerke - Occupational Therapist

FAQ: How do I know if my patients are in Axxess or Careficient?

Answer: You should be checking both systems daily for your schedule. The office is also keeping a tracker of which patients are in which system. Therefore, if you are confused about your schedule, please call the office and we will be able to assist. 

Reminder: If you have not reached out to request additional training on Axxess, I am assuming that you are confident charting in Axxess. If you do need additional training, I have blocked off a large portion of my schedule next week for training. 

Reminder: I will be assigning the annual EduCare courses to all employees that need to complete the courses. Please complete these courses as soon as possible. I will be checking the status of the courses periodically and following up with individual employees that do not have the courses completed. 

Thank you everyone for all that you do for the Firstat Family! Please never hesitate to reach out with questions or if you need to talk about anything. 

mission statement

Our mission is to provide comprehensive, compassionate, family centered care dedicated to enriching the lives of our employees, our patients, their loved ones and the community we serve.

Quote of The Month

“Talent wins games, but teamwork and intelligence win championships.” -Michael Jordan 

July Recipe

So one of my favorite things to always have on hand is QUINOA! But what do you do with it? While it comes in a few different colors, it is a great source of calcium, B vitamins, and iron! It is also gluten free. It is very easy to keep in the fridge in a container if you make it in bulk and you can toss it into salads, make a breakfast cereal out of it by pouring some milk over it and top with fresh fruit and granola for some crunch, or mixed with grilled veggies of any kind. Here is a recipe to whip up a summer salad to get you started! You may find many of these ingredients at your local farmers market…..


  • ½ cup raw pistachios

  • 8 ounces green beans and/or wax beans

  • 4 ounces sugar snap peas

  • Kosher salt

  • ½ cup coarsely chopped fresh tender herbs (such as parsley, chives, basil, tarragon, and dill)

  • ⅓ cup olive oil

  • 2 tablespoons white wine vinegar

  • 2 teaspoons Dijon mustard

  • Freshly ground black pepper

  • 2 small or 1 large head of broccoli, florets chopped (about 1½ cups)

  • 2 cups pea shoots (tendrils)

  • 1 cup cooked quinoa (from about ⅓ raw)


  • Cook green beans and sugar snap peas in a pot of boiling salted water until no longer raw but still very crunchy, about 2 minutes. Using a slotted spoon, transfer to a bowl of ice water and let sit until cold, about 3 minutes. Drain, pat dry, and thinly slice into bite-size pieces.

  • Blend herbs, oil, vinegar, mustard, and 2 Tbsp. toasted pistachios in a blender, adding water by the tablespoonful if dressing is too thick, until smooth and the consistency of heavy cream. Season with salt and pepper.

  • Toss beans, peas, broccoli, pea shoots, quinoa, and remaining toasted pistachios in a medium bowl to combine. Drizzle salad with dressing and toss again to nicely coat everything; season with salt and pepper.

Don’t obsess over getting these exact ingredients in this precise combination. Any nut you like will work here for crunch, and you’re looking for a mix of bright herbs and enough cooked grains to make this quinoa salad recipe substantial.




Firstat Nursing Services

2395 Ariel Street North, Maplewood, MN 55109