Pilot Media - National Nurses Week 2015

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ADVOCATING, LEADING, CARING.

Leaders with a Servant’s Heart

Military Nurses in Command

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Commander Joshua Nelson, USN, Ret., salutes his daughter, Lt. Commander Eve Poteet, during her promotion ceremony. Poteet, who is enrolled in UVA’s Psychiatric-Mental Health Nurse Practitioner program, began her Navy career as a hospital corpsman.

the service members and families you take care of,” she says. Even, ara Pickett joined the Navy straight out of nursing school ultimately, those patients who begin as a challenge. to gain experience and leadership skills. “I thought I’d put “I walked into the room of one young man who was yelling at in four years and then get out,” she says. That was 20 me through a curtain,” Poteet says, “asking if I knew anything about years ago and Pickett, now a Commander, can’t imagine his illness. I assured him I had a pretty good knowledge of it and he doing anything else. said okay, I guess you can take care of me. And out from behind the “I still vividly recall the first time I heard the national anthem curtain pops a 20-something marine who had been medevaced from when I was in uniform,” she says. “I can’t even describe what that Afghanistan. He’s one of those patients who almost died on me a meant. And there are still times today when the national anthem few times, and he had some loss involved in his disease process, but plays and I stand at attention and the hairs on my arms raise because we spent a lot of time together talking about his life in the marines, of the impact I feel we’re making. trying to build something and restore hope for the future.”

“This can sound trite and not everybody is going to get it, but it’s Skill, persistence and empathy paid off. “Today he’s alive and knowing that I have the opportunity to care for the people who go kicking,” says Poteet. “You hate for anyone to get wounded at any out and fight for our freedoms, who put their lives on the line for our time, but now with how far we’ve come with military medicine, we’re liberties, and I have the privilege of taking care of their families.” at a better place than ever.”

Pickett has patched up patients in Fallujah, Iraq, and taught young Pickett dealt firsthand with war injuries in Fallujah, Iraq, when sailors to be hospital corpsmen in Great Lakes, Mich. She’s nursed she deployed with a Marine shock trauma platoon. “When someone Haitian earthquake victims on a humanitarian mission and delivered would come in, we’d recover them, do babies in Okinawa, Japan, “Including the initial resuscitation in the trauma the first two sets of triplets born in bay, then get them into the OR,” she the Pacific Rim,” she notes with a says. “In the OR, they’d do what smile. The list of lives she’s saved – they needed to keep that patient alive, well, she’s stopped counting. like a lot of the abdominal stuff.”

“All I know is when I wake up, I Many times, wounds that would want to go to work,” she says. “I’m need further attention were stuffed still in the Navy because I love it.” with sterile towels rather than closed.

Lt. Commander Eve Poteet is “We’d wrap the patient with a sterile equally passionate about her career plastic that looks like Saran Wrap,” as a Navy nurse. Poteet found describes Pickett. plenty to do when she was medically If it was cold, the patient was retired from the Navy in her early often placed in a body bag. “When we 30s, but something was missing. packaged them in body bags, it helped “I worked for Edmarc Hospice for retain heat,” says Pickett, “but we had Children and the pediatric ICU to learn to put a red cross on the bag at CHKD, and then I accepted a and explain to the marines that that position as patient care supervisor at person was not dead,” she adds.

Sentara Norfolk General Hospital,” Commander Sara Pickett has delivered babies, taught hospital she says. “I loved what I did, but I corpsmen and served with a shock trauma platoon in Fallujah, Iraq.

“At this point the patient is still missed my Navy – the honor, the Military nurses are trained to thrive in multiple environments and on a ventilator and not fully recovered courage, the commitment – and I take on leadership roles wherever they’re stationed. from the anesthesia. We’d place them wanted to be back.” in the back of an ambulance Humvee, Poteet knew her medical issue had been a temporary one and a head to the landing strip and load them onto a helo to get them to the Medical Evaluation Board agreed. “I was found fit for duty,” she says, next level of care in Baghdad or someplace like that.” and soon back in uniform where she belonged.

Pickett monitored patients closely during the short helicopter ride.

“We all have the same technology, whether military and civilian, “There are key things you’re looking at, like are they waking up, do but what’s truly different in the military is the level of gratitude from I need to give them more sedation, you’re watching blood pressure,

and checking the ventilator,” she says. Pickett always knew when the helicopter was being fired at because it would suddenly bank. “You can’t hear anything but the helo, but you would feel a roll or maybe the medic would tap you on the shoulder and start to hold the patient too.

“Fallujah was just an awesome experience because we had the best training to be in that situation, and there was such teamwork,” she says. “It was also humbling and one of the biggest changes when I came back is that the little things didn’t bother me anymore.”

Battlefields, hospital labor and delivery units, family clinics – military nurses are trained to thrive in any environment.

“One of the things I like about the military is that your job changes all the time,” says Commander Anne Brown. “People ask what kind of nurse are you and I tell them it’s easier to say what kind of nurse I’m not,” she laughs. “The military is pretty good at making us well-rounded and very diverse in background. And since many practices and policies are handed down from the Bureau of Medicine and Surgery, a lot of things are standard. I can pick up and go anywhere in the world and hopefully catch on fairly fast.”

Brown, who has worked at duty stations from Spain to California, got her start as a civilian nurse in Washington, D.C. “So when a young ensign would mention getting out of the Navy after one tour, the senior nurses would send them to me to talk about life in the civilian world. I never tried to talk them out of it because I said the grass isn’t any greener – it’s just a different kind of grass.

“I think one of the biggest differences, though, is the sense of camaraderie and shared mission in the military,” Brown says. “It doesn’t matter if you’re treating a sailor on active duty or helping a family member. I’ve delivered babies and held them up to the camera for dad to see because he’s in Afghanistan. And I really enjoy the retirees. The number of WWII veterans is just plummeting and every chance I get, I sit down and talk with them. Many tell me about a time when a Navy nurse saved their life.”

Brown also feels that military nurses are given more leadership opportunities than their civilian counterparts. “Nurses are commanding officers of hospitals now,” she says. “I’m running three clinics, and that’s not something I could have done as easily as a civilian nurse. When a new nurse comes in, we get them clinically strong and then start pushing leadership on them pretty quickly.”

Military nurses are officers as well as care-givers, and are expected to function well in both roles, says Brown. “I mentor a lot of nurses and remind them they have to find that balance. Today I’ve done a lot of naval officer stuff, but yesterday I was a nurse all day, and you have to be able to be good at both.”

The drawbacks? “Sometimes it’s tough to pick up and move every couple of years,” says Brown. “But we’ve lived all over the Continued to page 3

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world, which is pretty cool, and both of my kids speak three languages. When some people find out I was a civilian nurse until I was 30, they ask me if joining the Navy was a good decision. I say it’s the best decision I ever made, hands down.�

Brown does a lot of interviews with perspective Navy nurses, a task she loves. “It’s interesting to hear the reasons they want to join,� she says. “Some come for the educational benefits, which are wonderful. In fact, the military paid for my bachelor’s and master’s degrees. But there is also a big surge of patriotism going on right now and they have this desire to serve.�

For most military nurses, it’s not just a job –

it’s a calling and a way of life.

Poteet understands the feeling well. “I’m just so happy to be a part of this,� she says. “On the pediatric unit at Portsmouth, I had this little boy with cystic fibrosis, and I was trying to figure out how to get some enzymes in him. He threw up all over me and kept apologizing. I told him it’s okay, that’s what I’m here for. He said, “But it’s your uniform.’ I said, “Look, don’t worry about it, I’m in the Navy whether I’m wearing this uniform or not.’�

For most military nurses, it’s not just a job – it’s a calling and a way of life.

Detour Haiti:

The USS Carl Vinson Makes a House Call

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t was supposed to be an uneventful mosey from Naval Station Norfolk to San Diego aboard the newly overhauled USS Carl Vinson. Commander Sara Picket, RNMSN, was assigned to the aircraft carrier as ship’s nurse. “We weren’t fully loaded since the carrier was just making a homeport change, but we had all the supplies we needed to get to San Diego,� says Pickett. “We were preparing to leave when we got the call – there had been an earthquake in Haiti.�

The carrier was ordered to the island to support earthquake recovery efforts and supply potable water. “Initially we weren’t going to bring patients aboard because we weren’t really equipped for that,� says Pickett. But the USNS Comfort and USNS Mercy, two fully-functioning floating hospitals the Navy deploys on humanitarian missions, weren’t

there and the Carl Vinson was. The Navy’s can-do mentality quickly took over. “The first patient we took in was a missionary who had been buried in the rubble,� recalls Pickett. “His legs had been amputated and he was on a ventilator. They brought him down the weapons elevator, we stabilized him and sent him off for next level care.� Even with an unpracticed team, it went like clockwork, she says. “Next was a missionary whose spleen had ruptured, then a Coast Guard helo brought in more patients, including a new mom with an ortho injury and her 2-hour old infant,� Pickett says. “There was a 12-year-old with a skull fracture, we had multiple crush injuries to treat, infections, limb amputations that had to be cleaned up, and we couldn’t speak the language.�

Several Haitian-speaking sailors were quickly drafted as nurse’s aides/translators. “Everyone was willing to pitch in,� says Pickett.

As the makeshift trauma center swelled with casualties, long hours stretched even longer and Pickett scrambled to plug knowledge gaps among her team. “I only had three IV pumps, but we were hanging lots of IVs and IV antibiotics, so I taught them how to calculate drip rates,� she says.

The blood bank was activated, washcloths became diapers and parachute material was transformed into baby shirts, Pickett says. “After five days, the USNS Comfort got there and we medevaced our patients to them.�

Sixty lives saved, no deaths. “It was extremely challenging, but we just all truly came together, adapted, and made it work with what we had. I love that about the Navy.�

Commander Sara Pickett holds a newborn aboard the USS Carl Vinson during humanitarian outreach efforts after the 2010 Haitian earthquake. The baby was named Vinson in honor of his rescuers.

A week seems too short to celebrate the non-stop care, compassion and commitment our nurses provide every day. Their tireless dedication makes our patients, our independent medical center and our entire community better.

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Chesapeake Integrated Behavioral Health

Elysia Edmondson’s beloved border collies relish a good challenge. It’s a mindset that Edmondson readily relates to – after all, challenge both explains and defines her career as a psych nurse.

Edmondson discovered a knack for interacting with mental health patients during her clinical rotations in nursing school. “For some reason, my patients loved to talk with me,” she says. Her instructor picked up on Edmondson’s unusual affinity for psychiatric nursing.

“She urged me to pursue it – so I did,” Edmondson says.

While the fundamentals of nursing are the same in every specialty, psych nurses can be called on to handle some usual situations. Edmondson still recalls the night rioting broke out in one of the units of a residential adolescent treatment facility. “Everyone was pulled in to help on that unit and I was left on my own with ten patients. One young man was very psychotic; he was hearing the codes being called and people rushing down the hallway and he became very agitated. I worked with him for 30 minutes and was able to help him regain control.”

In this field, triumphs are measured just as often in what doesn’t happen as what does.

“When you’re dealing with someone who’s not totally in touch with reality, you have to be calm but

WINNER

think quickly on your feet,” says Edmondson. Flexibility is important as well.

“Sometimes we have patients who are extremely delusional and they may not be able to walk through our front doors,” she says. Edmondson’s solution? “I go out to them,” she says simply.

“She’s a big advocate for her patients,” says Tracy Johnson, Edmondson’s supervisor. “We deal with their mental health here but they can also have medical issues, and many of them are uninsured or underinsured. I can’t tell you the amount of time Elysia has spent making calls or researching, whether it’s contacting the Lion’s Club for eyeglasses or connecting patients with our city health clinics.”

A gifted educator, Edmondson is often called on to share her expertise, says Johnson. “She does presentations for our staff and some of the other agencies in the city,” including the Chesapeake Police Department.

“It’s not a 9 to 5 job for Elysia,” Johnson adds.

“She’s someone who truly cares. Psychiatric nursing is one of the lowest paid areas of nursing you can get into, and this is someone who has gotten her master’s in nursing who could be doing very well financially. She chooses to do community behavioral health because these patients need her.”

Thank ou!

Lake Taylor Transitional Care Hospital wishes to thank our nurses and medical professionals for working so closely with patients and families to orchestrate care plans that result in the fastest recovery and best quality of life possible. From the hospital, through rehabilitation and recovery, to the return home - the ultimate goal is to return patients to a productive, healthy lifestyle.

We have a place for you and your talents on our team.

For more information and to apply, visit www.laketaylor.org

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A History of National Nurses Week The first National Nurses Week was celebrated in 1954, the year that marked the 100th anniversary of Florence Nightingale’s pioneering nursing efforts in the Crimean War. Although a bill to make National Nurses Week an ongoing event was introduced in Congress, no action was taken.

In 1974, after the International Council of Nurses proclaimed May 12 (Florence Nightingale’s birthday) as International Nurses Day, the White House designated a week in February as National Nurses Week and President Nixon issued a proclamation.

By 1981, the American Nurses Association, joined by other nursing groups, backed an effort to promote “National Recognition Day for Nurses� as an annual celebration. The next year, President Reagan signed a proclamation permanently establishing May 6 for the event.

The day was expanded to a week-long celebration in 1990 by the American Nurses Association, and in 1993, the group formally designated May 6-12 as National Nurses Week. Florence Nightingale

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At Sentara our nursing team reaches more lives more often as they embody our mission: To Improve Health Every Day. We know from personal experience that the extraordinary skill and compassion our nurses demonstrate not only lift patients — but inspire us all to be better people.

For information about Sentara Healthcare and our Nursing opportunities, visit:

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At Sentara our nursing team reaches more lives more often as they embody our mission: To Improve Health Every Day. We know from personal experience that the extraordinary skill and compassion our nurses demonstrate not only lift patients — but inspire us all to be better people.

For information about Sentara Healthcare and our Nursing opportunities, visit:

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Sentara Leigh Hospital

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Ashley Bishop mangles job descriptions. He doesn’t do it on purpose – it just seems to work out that way.

First Bishop masters his list of assigned duties, then begins adding miscellaneous items that catch his attention – import new rounding procedures, increase hand-washing compliance, improve contact precaution signage, co-chair a magnet committee… Soon he’s created a hybridized nurse/idea-instigator position all his own.

It’s Bishop’s way of combining a diverse set of interests with an intense focus on patient safety. One change he prompted is the way his hospital handles contact precaution notices.

“You would see a contact sign at the patient’s door and know you needed a gown and gloves, but you wouldn’t know which type of infection the patient has,” says Bishop. “Well, some infections have to be dealt with differently. If you’re dealing with C. difficile, you must wash your hands when you come out of the room instead of using the hand sanitizer. The sanitizer doesn’t kill the infectious spores. But if you’re a housekeeper or care partner or case coordinator or someone else who doesn’t know the patient’s history, you won’t know to do that.

So I proposed that they color code the signs so everyone knows when they must wash their hands instead of using the sanitizer.”

WINNER

Today, most infections are noted with a green contact precaution sign; the C. diff sign is an instantly identifiable brown. The idea was a simple, but effective one.

Bishop views his primary role as a patient advocate and is quick to ask questions on their behalf. When a Glucommander dosage caught his attention, he flagged it. “The order just didn’t make sense to me,” says Bishop.

“I actually paged the doctor.” Sure enough – Bishop was right and the order was corrected.

“As a nurse, that’s your job,” Bishop says. “You’re there with your patient for the whole shift, you notice the small trends, you have to take the initiative. Nursing is constantly changing and it’s moving toward greater influence, which is a good transformation. The nurses who are there in the trenches with the patients have a lot of input, whether it has to do with policy, procedures, or education initiatives. I like the fact that we can share our point of view and be heard.”

Bishop’s passion for getting it right and making it better is clothed in a genuine, down-home friendliness.

“He’s very amiable,” says Jo-Marie MacAlpine, a nursing colleague. “He’s always smiling, willing to go the extra mile and all the patients adore him. He’s just an excellent nurse.”

We want to express how special our nurses are to us.

:H KDYH D SODQ IRU WKDW To all our Nurse Professionals, You touch the lives of thousands of people as members of our team.

Through your compassion, skill, friendship and leadership—you have touched us as well. Thank you for everything you do, and for the graceful way in which you do it. — From all of us at Optima Health.

NATIONAL NURSES WEEK | 2015

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Manley, Tasha RN Sentara OBICI Matheny, Eve RN Sentara Leigh Hospital, 4 West Mejia, Rizza RN Sentara Leigh Hospital, 4 West Mitchell, Taneisha MSN, RN, CPHQ, Administrative Director of Quality & Patient Safety CHESAPEAKE REGIONAL MEDICAL CENTER Moore, Ladonna RN Sentara Leigh Hospital, 2 West Moreira, Kim-Sun Nurse Manger of Emergency Services Chesapeake Regional Medical Center Moycomeus, Chit Charge Nurse Chesapeake Regional Medical Center - Clinical Decision Unit Newberry, Lynn Adminstrator for Professional excellence Mary Immculate Hospital Nielson, Barbara LPN Sentara, 4 south O'Flaherty, Dawn Hospice Nurse Sentara Hospice O'Neil, Sharon RN Sentara Leigh Hospital, PACU Peterson, Kelsey RN Sentara Leigh Hospital, 2 West Plante, Tambra RN/Case Manager Sentara Home Care Services Pollard, Meghan RN Mary Immaculate Hospital, 3B Medical Portillo, Ann RN Sentara Leigh Hospital, ICU Presley-Kelso, Monique RN Sentara OBICI Pringle, Terri RN Sentara OBICI Quinn, Health RN Sentara OBICI Raiford, Jennifer RN Sentara OBICI Raymer, Sheila Home Health SN Suffolk HH office Richendollar, Karen RN Sentara Leigh Hospital, ICU Riddick, Doris RN Lev III SEntara OBICI Rockett, Jimmy LPN Nursing Supervisor The Terrace At Beth Sholom Village Rogers, Cynthia Administrative Director of Nursing Maryview Medical Center Roisten-Gregory, Alice RN Maryview Medical Center Roten, Holly RN Bon Secours Cardiovascular Specialists at Harbour View Roth, Jacqueline LPN Sentara Pediatric Physicians Sarte, Marc RN Sentara Leigh Hospital Sheriff, Bobbie Jo LPN, Primary Nurse The Albero House, at St. Mary's Home Sile, Inel RN Chesapeake Regional Medical Center Simon, Jeannine Manager, Intensive Care Unit Chesapeake Regional Medical Center Simpson, De'Ja RN Sentara OBICI Smith, Brittanie RN Sentara Leigh Hospital

Smith,Viola A. Instructor at TCC and Weekend Navigator at Sentara Home Health Care TCC and Sentara Home Health Care Sobers, Elisa RN Sentara OBICI Steffanelli ,Sheila RN-Heart Failure Nurse Navigator Bon Secours Maryview Medical Center Steffens ,Wanda Director of Nursing Sentara Nursing Certer - Windermere Stone-Jole, Brittany RN Sentara OBICI Sullivan, Brandi Outcomes Manager Mary Immaculate Hospital Swantek, Tonya RN Sentara Leigh Hospital, 1 West Torres, Darcy Chesapeake Regional Medical Center- Nursing Resources Trapp, Katy RN Sentara Leigh Hospital Tschai, Lesia Assitant Nurse Manager Chesapeake Regional Medical Center Viado, Perlita RN Sentara Heart Hospital (4HH Cardiac Stepdown) Ward, Michelle Radiology Nurse DePaul Medical Center Warren, Charlita RN Bon Secours, Mother Baby Unit Watson, Donna LPN Sentara OBICI Watson, Susan RN Care Manager Sentara Medical Group Welch, Wendy Clinical Coordinator Chesapeake Regional Medical Center West, Andrea Nursing Quality Analyst Maryview Medical Center Whitehead, J. Danielle RN Sentara OBICI Whitehurst, Michael RN Chesapeake Regional Medical Center Williams, Connie Sentara OBICI Williamson, John RN Mary Immaculate Hospital Interventional Radiology Department Wooden, Verna RN Sentara OBICI Wratchford, Sharon LPN Sentara, 4 South-Rehab Wyatt, Wanda RN, Hospice House Manager Sentara Hospice House Yates, Inez F. LPN, Clinical Coordinator Bon Secours, Care A Van Yeager, Linda LPN Medical Temporaries Yeager ,Linda RN Medical Temporaries, Inc. Young, Carlie RN Sentara Leigh Hospital, Pre-Op Young, Chantae RN Sentara OBICI Zawacki ,Terry RN Maryview Medical Center Mother Baby Unit

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It was October 2014 and Becca Cooper had left her comfort zone 8600 miles behind her. The small HIV clinic, tucked into a corner of bustling Bangalore, India, harbored poor patients who couldn’t afford healthcare and Cooper was there to help for three weeks.

“It’s a Christian-run clinic and they treat patients with opportunistic infections and offer hospice care,” says Cooper. “There’s also a home for children born with HIV. Many of the kids have been abandoned by their parents or the parents are dead, yet they were so optimistic. My sister and I were able to spend a lot of time with the kids in the evening and work in the clinic during the day. It was very, very challenging, but an amazing experience,” she says.

“There was one young couple and the husband had just been diagnosed with HIV,” recalls Cooper. “He was bed-bound with a tracheotomy and feeding tube, and it was really hard on his wife. I was able to help with his care, listen, and just try and be there for them both.”

Despite a language barrier, nursing skill translates into any culture with an easy fluency and love needs no translation at all.

“She just has a very compassionate spirit,” notes Robin West, clinical manager at Sentara Leigh. “If you

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Sentara Leigh Hospital

ever have the opportunity to watch her at the bedside with a patient, you just see it, in her caring, the tone of her voice, her body language, she just gives her all to her patients.”

West, who was one of Cooper’s clinical instructors at Tidewater Community College, spotted Cooper’s gift for relating to patients and encouraged her to apply at Sentara Leigh. “When you have that inborn spirit of giving, nursing is an excellent match,” West says.

The family-oriented Cooper juggles nursing with community outreach, church activities and an online RN-to-BSN program. She’d also like to return to the HIV clinic in India one day and travel wherever else her faith takes her. “That experience gave me a greater need to reach out to people and to be involved in different opportunities,” says Cooper.

For now, though, there are plenty of patients at hand to care for, and Cooper especially enjoys her elderly charges. “They know so much about life and it’s important to help them feel their opinions are still important,” says Cooper, who is determined to do just that, one 12-hour shift at a time. It’s the distinctive “Becca Touch,” and her patients love it.

RNs in the United States earn an annual medial wage of $65,470; the top 10% earn more than $94,720. These paychecks would have seemed unimaginable to nurses in 1946 – they earned an average $2,100 a year. By 1966, annual earnings had crept all the way up to $5,200 on average. ~ BLS.gov & healthcarecareers.com

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