Nurses, A Call to Compassion | Sunday, May 5, 2019

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National Nurses Week | May 6th - 10th

1 | Celebrating Nurses, A Call to Compassion

The Roanoke Times

Know now. w


Celebrating Nurses. Nurses are healthcare’s heroes. As an integral part of healthcare, these educated, trained, skilled medical professionals are routinely asked to be so much more than a nurse. While providing the highest levels of care to patients is always their primary focus, nurses frequently find themselves serving as a patient advocate, counselor, friend, extended family member, or simply a conversationalist – sitting for a few minutes listening to a patient’s stories, and reassuring them when there are fears. In between balancing those patient needs with a multitude of other responsibilities, nurses can take pride and have the satisfaction in witnessing and celebrating a patient’s recovery and return to good health, knowing their efforts and commitment figure largely in that accomplishment every day. Knowing full well the responsibilities and the challenges that come with the profession, they choose to serve and make a difference, and for that we thank and appreciate them. We take pride in our nurses and celebrate their accomplishments. We will continue working together to recognize and elevate the nursing profession as a whole, and we welcome today’s nursing students, as well as experienced nurses on their way to becoming tomorrow’s nursing leaders. Thank you for what you do everyday and how you impact lives in so many ways. You are all appreciated. Sincerely,

Lance Jones, FACHE Market President

2 | Celebrating Nurses, A Call to Compassion

The Roanoke Times


Jefferson College Student Wows Supervisors When a Jefferson College of Health Sciences’ student in Indiana began her clinical rotation recently, her supervisors had nothing but praise. - by Tiffany Stevens

Pictured: The Jefferson College of Health Sciences, Downtown Roanoke, VA

“They were so amazed by our curriculum,” said Milena Staykova, who heads the family nurse practitioner program that the student enrolled in. “They were asking her, ‘Where did you go to school.’ She said, ‘Jefferson.’”

seen such a competent nurse practitioner.”

The feedback Staykova received from her present and former students is typical for all of the nursing programs offered at Jefferson College. The college’s diverse It wasn’t the first time that curriculum allows students to pick Staykova heard the program lauded the academic track that works best by medical professionals outside for them, whether they are high Virginia. Recently, a graduate of the school graduates or adult learners. master’s level online course living Ava Porter, who chairs the nursing in Florida reached out; her educadepartment, said there are nearly tion and training, she said, had 500 students currently enrolled in quickly earned her the admiration one of the school’s nursing proof her superiors and the respect of grams. While most applicants are her colleagues. local residents, Porter said many of the school’s programs serve “She said ‘Physicians in Florida are asking where I obtained my educa- students no matter where they live tion,” Staykova said. “They haven’t and work.

Sunday, May 5, 2019

“If they can find clinical supervision wherever they live, we can take students from anywhere in the country,” she said. “I have a nurse administration student right now getting ready to graduate. She lives in Fort Worth Texas.”

“They haven’t seen such a competent nurse practitioner.”

For the aspiring nurse who hasn’t yet started her healthcare training, Jefferson College has a number of options. Those who have never received a degree before can enroll in the college’s four year baccalaureate program. If they have a bachelor’s degree in another discipline, they can also enter the college’s accelerated program, which can be completed in 16 months. - continued on page 4

Celebrating Nurses, A Call to Compassion | 3


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there are better patient outcomes when the nurses have a bachelor’s The college’s offerings aren’t limited to those who are getting their degree,” Vari said. “When [nurses first nursing degree. The school has are] getting a degree online, that allows them a lot of flexibility. They several programs geared toward working nurses who are looking to can work on their courses when they need to. It’s a great way for further their education. working nurses to get a degree.” Among those, one of the most popular is the school’s RN to BSN track, which helps nurses with associate’s degrees receive their bachelor’s. Patty Vari, who directs that online course, said the program is providing Southwest Virginia with more nurses who have obtained four year degrees — a professional resource that’s needed nationwide. A report released in 2014 by the Robert Wood Johnson Foundation, a health philanthropy organization, and the American Working nurses can also benefit Association of Retired Persons (AARP) recommended that at least from one of Jefferson College’s 80 percent of the country’s nurses master’s level courses. The family nurse practitioner track, which earn a bachelor’s degree by 2020. takes on up to 24 students per “There’s research out there that cohort, can prepare students for

“What we want you to do is think differently once you finish this program,”

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another fast growing and flexible field in medicine. “[Nurse practitioners] work in rural settings and they work with disadvantaged patients that don’t have insurance,” Staykova said. “There’s opportunity for them to provide medical services where other medical professionals cannot reach.” For health professionals seeking leadership opportunities, Jefferson College’s nursing administration program can provide valuable experience and training. The online master’s program helps students learn to solve difficult problems within the healthcare field. Those problems aren’t simply based on hypothetical situations. Students are tasked with tackling real conundrums they face at work as they progress through the course material, allowing them to provide value to their employers before they’ve even graduated. “What we want you to do is think

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YOUR NOT-FOR-PROFIT SENIOR LIVING COMMUNIT Y 4 | Celebrating Nurses, A Call to Compassion

The Roanoke Times


differently once you finish this program,” said Vari, who also directs the nursing administration program. “You’re going to have the same issues that you have in the workplace now, but you’re going to be able to think about them in new and creative ways.” Jefferson’s partnerships with area universities and employers also strengthens its curriculum. The family nurse practitioner program, for example, includes several simulation scenarios conducted with the help of the Eastern Virginia Medical School and the Virginia Tech Carilion School of Medicine and Research Institute. Recently, Jefferson College announced its intent to merge with Radford University, which will provide students with even more resources and opportunities. Additionally, since Jefferson College partners with Carilion Clinic and employs a clinical coordinator, students can expect to be quickly assigned to a clinical practice,

something that other nursing programs can’t always guarantee. “Our students 100 percent place successful and 100 percent are able to graduate on time, in comparison to many schools where the students have to wait one to two semesters to graduate,” Staykova said. “That’s what makes our program very demanding.” Whether an applicant is new to nursing altogether or has worked in healthcare for 30 years, Porter said that enrolling in Jefferson College can lead to occupational opportunities the student has never before considered. Nursing is a growing and versatile field, she said — one that extends far beyond bedside, hospital, and doctor office roles. “When you get your nursing degree it opens so, so many doors,” Porter said. “[People] might think of it narrowly as just running down the hallway with a bedpan, and that’s not what it is.”

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Celebrating Nurses, A Call to Compassion | 5


My Call to Compassion

fact, we actually took very good care of our residents and did a lot of things to create a fun, positive, homelike environment,” said Moysakis.

Celebrating the passionate contributions of nurses who work on behalf of our communities Pam Moysakis, RN

Wendy Williams “I cannot give one specific reason as to why I chose nursing as my career. For as long as I can remem-

ber, I have only wanted to be a nurse. In my 28 years of nursing, I have taken care of thousands of patients. One of the greatest things about nursing as a career is there are so many different roles we can assume and still impact patient care. Nursing has afforded me the privilege to be there as new life comes into this world as well as the privilege of being there as people move on from this world. I may not remember all of them, but there are so many that have touched my heart along the way. And my hope as a nurse is that I have impacted their lives in just a fraction of the way they have all impacted mine.”

6 | Celebrating Nurses, A Call to Compassion

years, the underlying reason for becoming a nurse is present today in my essence as a human being. As a young man before and after joining the military at age eighteen, I observed anxiety and turmoil present in people experiencing the vicissitudes of daily living.

John R. Phillips RN, PhD “As an eighty-two-year old retired nurse who practiced and taught nursing for forty

My thoughts then and even now such people needed compassion, caring, hope, and love to enhance their quality of living. Such ideas led me to choose nursing as my profession, realizing it would give me opportunities to explore and make contributions in service to humankind..”

Pam Moysakis followed in the footsteps of her mother and grandmother, who were also nurses. She even went to the very same nursing school. “There was just nothing else I ever wanted to do,” she said. She started in pediatrics and eventually became a staff nurse at South Roanoke Nursing Home, also serving as their director of nursing for many years. “Back then, people would ask me how I could stand to work at nursing home. I would tell them that it’s not nearly as bad as they think and that someone had to take care of these people when there are no other options for them. In

During this time, she became acquainted with Gentle Shepherd Hospice and became friends with one of their CNAs, Pam Hinkle. “Pam was always trying to recruit me. I just wasn’t sure I wanted to do that. I was so used to being in a facility where there were others around if I had a question,” said Moysakis. “Hospice nurses are out there all by themselves and that seemed scary to me.” When she retired, she finally decided to check it out and what she discovered about being a hospice nurse surprised her. “It turns out that my fears were totally unfounded and my parttime retirement gig has been an awesome job! If I have a question or a challenging case, we have nurse practitioners I can call at any time, as well as other nurses who are more than happy to help. Our patients are grateful to have us there and appreciate everything we do to help them and their loved ones. Being a hospice nurse is so rewarding! ”

The Roanoke Times


hear every word she saying even though she was unresponsive. She was gentle and caring. She showed a kindness that comes from the soul, radiating throughout the room. I felt a warm fuzzy feeling that there are angels here on earth. An “Angel in scrubs,” that’s what I called her and at 15 I knew that’s what I wanted to be.

When I was 15 years old I had a life changing experience. I watched my grandmother struggle for every breath while intubated during a lengthy hospital stay. The weeks were worrisome and we didn’t know how much time we had left with her. I couldn’t help but notice all the wonderful nurses she had helping her along the way. It was during this time I knew I had found my passion. I was overwhelmed not knowing how to channel my emotions caused by the pain of uncertainty and a situation I couldn’t fix or control. I remember the nurses teaching us how to exercise her arms and legs so her muscles didn’t atrophy while she was unconscious. I was inspired by the compassion shown by the medical team. I also found myself perplexed by their skills and knowledge. “What was all this equipment and who were all these angels helping my grandma stay alive?” One particular aide was amazing. She came in every day with a smile, her voice was soft spoken as she greeted Grandma. The aide talked to her as if she could

Devin A. LaPuasa BSN, RN, CEN “As a third grader I remember the nurse taking care of me after a surgical procedure being almost angel like. She seemed

Sunday, May 5, 2019

My life experiences from age 15 until now have taught me the importance of holistic nursing, treating the whole patient and not just the “illness.” To all those in healthcare passionate about nursing, remember why you chose this path. Keep being amazing, it doesn’t go unnoticed and it is appreciated. You do make a difference in people’s lives everyday with every single interaction! I’m happy to say my grandmother is alive today. She made a miraculous recovery when there was almost no hope left.

“Oddly enough, I have known since I was 18 that I would eventually become a hospice nurse,” said Farmer. “I’ve never been afraid of death. And I’ve always wanted to comfort people who are dealing with serious illness and to educate loved ones on how to best take care of them.”

Heather Farmer RN, BSN, CHPN As long as Heather Farmer can remember, she wanted to be a nurse. Her mom would make candy striper outfits as her costumes! When she was 14, her father was in a car accident that resulted in a traumatic brain injury. Farmer recalls that “the Lord pressed upon me that no one should ever suffer alone. So many people are hurting physically and emotionally, and as a nurse I can help them in a very tangible way.” After getting her nursing degree, Farmer started her career in physical rehabilitation to help people with brain injuries. A short time later, she was introduced to home health where she worked

Farmer feels a spiritual calling to help her patients draw beauty from the ashes, find joy instead of mourning and cause for praise instead of despair – guidance that stems from scripture (Isaiah 61:3). “Hospice involves more than just addressing physical needs. We form therapeutic relationships with patients and their loved ones to provide holistic care,” said Farmer. “We are sensitive to complex family dynamics and potential areas of distress or conflict in the home, accepting that people come to us after having lived a lifetime of various experiences.. Hospice acknowledges the suffering and addresses the emotional concerns of all parties involved. The commitment even extends beyond the passing of the patient as hospice also provides grief support for those left behind.”

Emily Hill RN, BSN, CWOCN Nursing is actually Emily Hill’s second career. In her first, she was first a librarian in an extension program, taking books to people who were home bound or living in nursing homes. Visiting with elderly folks was her favorite part of the job. When she was 23 years old, a newlywed and pregnant, her husband Matthew, only in his mid-30s, was diagnosed with a stage four brain tumor. “Life had been perfect for a minute,” recalled Hill. “Matthew wanted to fight it and never gave up. But he never found peace at the end of his life either. That’s one of the reasons I am drawn to end of life care – to help people find peace

“I was really inspired after being on the receiving end of such excellent, compassionate nursing care through Matthew’s illness and end of life journey,” said Hill. “On the practical side, I also realized that librarian wages wouldn’t support our family. It occurred to me that I could combine spending time with the elderly with nursing!” said Hill. “It was the best decision I ever made. I love what I do!” Hill entered an accelerated nursing program for those seeking a second bachelors degree. Over the next few years, she slowly took classes while working parttime as a student nurse and juggling her responsibilities as a mother and caregiver. “Matthew died before I completed the program, but I know he would have been really excited and proud of me becoming a nurse. And now our daughter wants to go into healthcare too,” said Hill. “As a hospice nurse, I have been able to share my experience with other relatively young wives and mothers in the same situation. I hope it helps them to see evidence that there is a life beyond the caregiving and pain.”

I’m forever grateful for God’s mercy and all the “Angels in scrubs.” I am so thankful for my grandmother’s recovery. It impacted not only her life, but mine as I watched from the sidelines. Today I’m no longer on the sidelines. I get to impact lives everyday as someone’s else “Angel in scrubs.” like a hero to me. I wasn’t sure I was going to be a nurse then, but I often look back at that experience and can understand the seed that was planted during my hospital stay. Choosing to be a nurse is choosing to blend the science of our knowledge with the art of the delivery. We have learned the science, the skills, the disease processes, but to execute this knowledge in a way that is best for patients is an art and a gift. It is truly the greatest pleasure being able to care for people on their worst days and their best days- being a light to someone who’s world is dark is why I choose nursing every day.”

Tonya Williams RN, BSN “I did not choose to be a nurse. Nursing chose me. Even as a kid, I always knew that this is what I was supposed to do. However, it wasn’t until adulthood that I realized what a blessing it is to be a caretaker. Knowing that God chose me to help others, that he trusted me to provide some type of comfort for others, will always bring me peace of mind and a sense of fullfillment. Taking care of others is what brings me joy!”

Called Blessed Valued

WE ARE

Jennifer Vishneski, RN

The following year I enrolled in my high school’s Nurse Aide program. I earned my certification as a Nursing Assistant, (CNA) and was working full time by the time I graduated high school. My passion for nursing led me to continue my journey into the Licensed Practical Nurse (LPN) program, but I didn’t stop there. A year later I earned my degree in nursing as a Registered Nurse, (RN).

and comfort.”

for several years before moving into hospice.

Accepting applications for RNs. Join our care team! To apply, email us: careers@gentleshepherdhospice.com Celebrating Nurses, A Call to Compassion | 7


Nurses Make the Difference Essay Contest Finalists Please join us in congratulating our 3 finalists for our Nurses Make the Difference contest. You can read their full nominations on Roanoke.com/contests/. See the announcement of the grand prize winner in next Sunday’s Virginia section.

Martha Ann Gosney Retired Nominated by: Nancy Eanes

Donna Griffith School Nurse at Moneta Elementary Nominated by: Kimberly Atwood

THANK YOU to our Nursing Team You are the heart of our community! Meet Kira, LPN & Unit Coordinator, Team Member for Over 7 Years She is just one of our many amazing nurses!

Courtney Orange Carilion Clinic Nominated by: Miranda Hurd

A Legacy of

Caring

Caring, energetic, smart, and devoted—these are just a few of the words that describe the amazing team of nurses you’ll find in our community. They are the foundation of Our Lady of the Valley’s legacy of caring. May 6-12 is National Nurses Week, a time for us to recognize the special nurses in our community and beyond who are improving lives every day. To all our nurses, we thank you!

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8 | Celebrating Nurses, A Call to Compassion

The Roanoke Times


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Sunday, May 5, 2019

Celebrating Nurses, A Call to Compassion | 9


Profiles in Nursing

- by Tiffany Stevens

Sharon McKinney

Laszlo Vecsei

Amy Woods

Sharon McKinney’s relatives like to joke that she — like many in the family tree — has nursing in her blood.

When Laszlo Vecsei first immigrated to the United States from Hungary, he didn’t foresee his eventual career in nursing. He became a dock worker and loaded semi trucks, relying on manual labor to make his living.

Amy Woods was 14 years old when a telephone operator interrupted her call and asked her to hang up. Her brother had been shot.

Her mom was a nurse. Her sibling was a nurse. Before he died, her late husband was a nurse too. She wouldn’t have it any other way, however. Nursing is a calling, McKinney said — one that has added immense meaning to her life and provided her with a professional family. “[Nursing is] really not what you do,” McKinney said. “It’s a part of you. It’s what I am. I am a nurse.” As unit educator for Carilion Roanoke Memorial Hospital’s emergency department, McKinney tries to instill that same passion and enthusiasm in the division’s new hires. She ensures that new employees smoothly navigate the hospital’s onboarding process, which includes orientation coursework and training opportunities. She also helps workers develop appropriate professional goals, regardless of whether it’s their first healthcare job or their fifth. For McKinney, the chance to guide and educate new hires provides her the chance to stay involved with emergency nursing while helping others further their career. Even before becoming unit educator, McKinney dedicated herself to emergency care. She started volunteering as an emergency medical technician (EMT) in high school, long before she secured her first job at what is now Carilion Roanoke Community Hospital. By working in the emergency department, McKinney said, nurses are given the honor of helping families experience life’s greatest joys and sorrows. In a single shift, she said, a worker might celebrate a birth and help a family grieve a death. “Emergency nursing will always hold a special place in my heart, “ she said. “If I’m not out at the bedside caring for those patients, I feel like this is the next best thing — that I’m able to help prepare the hands that are now doing it.”

But soon, Vecsei began considering college. He wanted a mentally invigorating career, one where he could make a difference. “Healthcare was a good option,” Vecsei said. “It’s a growing field all over the country.” Now, Vecsei works as a hospitalist at Carilion Roanoke Memorial Hospital, where he’s helps devise and implement treatment plans for patients. Some shifts, he helps out surgical teams; others, he attends to patients in the emergency department. “Nursing lets me and my colleagues work closely with the public,” Vecsei said. “It’s kind of the best of the both worlds. You get to do something a little bit scientific, but it’s still very much a humane career.” Vecsei’s current job is a result not only of his decision to pursue nursing, but of his commitment to continued educational advancement. In 2018, he completed the family nurse practitioner program at Jefferson College of Health Sciences. The degree opens up a wide number of fields for practicing nurses, he said. Often, nurse practitioners are tasked with filling healthcare gaps left by a shortage in doctors, but they’re not limited to careers in under resourced communities. “Nurse practitioners work in the military,” Vecsei said. “We can work in clinics, whether it’s metropolitan area or a super smalltown rural area. We can work in many different settings.”

McKinney said that prospective nurses should know that opportunities in the field are limitless. A new nurse may find her place, like McKinney did, in the emergency department. Or, she may discover that she loves working as a travel nurse, or in pediatrics.

For Vecsei, the decision to complete the nurse practitioner program was a rewarding one. The flexible nature of the course made finishing classwork easier, and the program’s professors were demonstrably committed to their students’ success. He encouraged future program participants to commit themselves to their studies, even when the classes becoming confusing or complicated..

“The way things are today, if it’s not your cup of tea, then there’s always another area for you to experience and see if that’s a better fit,” she said.

“[Nursing school is] a lot of work. It’s very difficult,” Vecsei said. “But it’s very much worth it.”

10 | Celebrating Nurses, A Call to Compassion

Woods’ brother, then 18, was hospitalized for almost a month after that hunting accident. The experience was traumatizing for Woods, who recalled how her brother struggled to breathe while laying in the hospital bed. Her distress was eased, however, by the kind nurses who tended to her injured brother. “A simple explanation to a 14 year old of, ‘This is what’s going on with your brother, he’s gonna be OK’ — that’s what I needed to hear,” Woods said. That formative experience bolstered Woods’ eventual decision to pursue a career in nursing. Today, she is able to make a difference in the lives of patients and staff, just as those nurses did for her. She serves as chief nursing officer at LewisGale Hospital Montgomery, meaning that she oversees all nurses employed at the medical facility. There, she helps her underlings grow and encourages them to overcome professional barriers to improved performance. “I just like helping people — patients, peers, physicians, all our customers,” she said. “I’d like to think that I have a positive impact.” Before she became a chief nursing officer, Woods worked in LewisGale Hospital Montgomery’s operating room (OR), first as an OR nurse and later as the director of that department. Going through the doctor of nursing practice program offered by Radford University’s School of Nursing, she said, afforded her the chance to take on a leadership role. Woods said that practicing or prospective nurses should look for mentorship opportunities if they want to one day take on a management position. They should also never be afraid to volunteer for new responsibilities. “Let your aspirations be known, figure out how to say yes and challenge yourself,” Woods said. “And don’t be afraid of failure. Failure is opportunity.”

The Roanoke Times


SPOT A STROKE Learn the Warning Signs and Act Fast

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Act FAST in response to any of these signs to improve your chances for recovery. If you get help within three hours of the first symptom, the advanced interventional treatments and fast-track Stroke Alert program available at Carilion Clinic can lessen or even eliminate the effects of a stroke. If you or someone else has any of the BE FAST symptoms, call 911 immediately.

CarilionClinic.org/BeFast Sunday, May 5, 2019

Celebrating Nurses, A Call to Compassion | 11


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