Improvements in health care come in many ways.

Breakthroughs in science grab headlines but often require years, if not decades, of clinical research and testing before moving into mainstream practice.

Often today, upgrading equipment is a major plus. New technology typically speeds diagnosis, improves processes and brings about better outcomes.

Hardin Memorial Health has invested in technology and implemented new breakthroughs to provide a higher level of care locally. But many of its improvements come from the hard work and dedication of the staff.

One of the more obvious recent examples are the accomplishments of Bethany Gusler and Darin Life, two HMH nurses who joined Stroke Program Coor­di­nator Rosa Vittitoe as Stroke Cer­tified Registered Nurses.

The SCRN designation means these three are among an elite group that now numbers more than 5,000, who have demonstrated a unique body of knowledge necessary for the practice of stroke nursing, according to the Am­eri­can Board of Neuroscience Nursing.

According to the American Board of Neuroscience Nursing, the accreditation is a peer-­review mechanism allowing nur­sing certification organizations to obtain accreditation by demonstrating compliance with the highest quality standards available in the industry.

Gusler and Life, who work in the local hospital’s Critical Care Unit, have devoted exceptional time and work to achieving this level. The certification is not a requirement of their job. They did it on their own because quality care matters to these nurses and to HMH.

And four other nurses are scheduled to take the grueling certification exam in February.

Dealing with the impact of a stroke is an extremely time-sensitive issue at HMH. Understanding the new medications and the care necessary is having dramatically positive results for local patients.

This is another in a series of steps being taken to serve this community better.

This editorial reflects a consensus of The News-Enterprise editorial board.

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