2020 Nurses Week

MAHALO 2020 NURSES WEEK Celebrating Our Nurses and Health Care Providers

May 3, 2020

NURSES

MAHALO MA M A TO ALL OF HAWAII’S NURSES ES WEEK Nursing is more than a profession. It’s a calling.

During D u Nurses Month, we recognize the more than 1,400 Kaiser Permanente nurses in Hawaii who are on the front lines daily keeping our members safe with a calm, caring, and compassionate touch.

kp.org/hawaii

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WHAT IS

NURSES WEEK?

DENNIS FRANCIS

Publisher, Honolulu Star-Advertiser President, Oahu Publications, Inc.

BY KYLE GALDEIRA Florence Nightingale is known as the founder of professional nursing and became an industry pioneer after her work during the

MESSAGE FROM

Crimean War from 1853 to 1856. Nightingale’s habit of making rounds

DENNIS FRANCIS

at night led to her being known as “The Lady with the Lamp,” and, appropriately, National Nurses Week shines a light on the current crop of dedicated nurses.

National Nurses Week runs May 6-12 each year — May 6 being

A

s the Coronavirus (COVID-19) pandemic has unfolded over the past several weeks,

Nightingale’s birthday. The nursing profession has been supported

this unprecedented time, marked with angst and anxiety, often feels like it has

and promoted by the American Nurses Association (ANA) since

slowed to a standstill. We digest the turbulent flow of daily news and interpret

1896. Each of ANA’s state and territorial nurses associations pro-

guidance from a multitude of sources while pursuing the best plan for our families, col-

motes the nursing profession at the state and regional levels, and

leagues and friends.

In the midst of this urgency, we cannot forget to thank the people at the center of it all: our courageous nurses and their colleagues in the medical profession. The nursing

conducts celebrations to recognize the contributions that nurses make to the community.

vocation has long been charged with the noble, awe-inspiring and exhausting work of

“As the largest group of health care professionals in the U.S. and

caring for the sick and suffering. Nurses run toward the line of danger as the rest of us

the most trusted profession, nurses are with patients 24/7 and from

retreat into the safety of our homes. Every time they step into their scrubs, nurses meet and care for people when they are at their most fragile.

the beginning of life to the end. Nurses practice in all health care

Please join our staff, partners and the community as we express our sincere thanks to

settings and are filling new roles to meet the ever-growing demand

Hawaii’s nurses for their selfless commitment and dedication in the most daunting of times.

for health and health care services,” stated ANA president Ernest

With patience and fortitude, we look forward to our collective recovery and will always remember the light you contributed to the path as we navigate our way toward a better tomorrow.

Grant, Ph.D., RN, FAAN. “Despite the major role nurses play in health care delivery and community outreach, there are opportunities to increase understanding of the value of nursing in order to expand

Mahalo Nui Loa,

investment in education, practice and research, as well as increase the numbers of nurses who serve in leadership positions.”

The World Health Assembly, the governing body of the World

Dennis Francis Publisher, Honolulu Star-Advertiser President, Oahu Publications, Inc.

Health Organization, declared 2020 the International Year of the Nurse and Midwife in honor of the 200th anniversary of Nightingale’s birth. National Nurses Week has been expanded to a monthlong celebration throughout May to expand opportunities to elevate and celebrate nursing.

The celebration offers a platform to recognize past and present nurse leaders globally, raise the visibility of the nursing profession in policy dialogue and invest in the development and increased capacity of the nursing workforce.

NURSES WEEK 2020 Îź 3

This is what dedication looks like.

Our nurses inspire us. They amaze us. They do whatever it takes. During this Nurses Week, it is our honor to acknowledge their extraordinary dedication to our patients and our communities.

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DAVID Y. IGE

JOSH GREEN

Governor, State of Hawai‘i

Lieutenant Governor, State of Hawai‘i

PROCLAMATION WHEREAS, with over 4 million registered nurses in America, the nursing profession is the cornerstone of patient care in our nation and our state; and WHEREAS, the demand for licensed nursing services is increasing because of our aging population, continuing expansion of life-sustaining technologies, and growth of community and home-based health care services; and WHEREAS, nurses are leaders in improving the culture, access and quality of health care for individuals, families and communities; and WHEREAS, nurses are experts in patient-centered care, population health, health care quality and safety, interprofessional partnerships, systems-based practices, and informatics and health care technologies; and

MESSAGE FROM

LIEUTENANT GOVERNOR JOSH GREEN

N

urses are the heart and soul of our healthcare system. They’re a helping hand and source of comfort to patients and a critical partner to everyone in the healthcare ecosystem.

Being a nurse requires long days, longer nights and the emotional peaks and valleys

WHEREAS, there are more than 2,600 licensed practical nurses (LPNs), 29,000 registered

of saving lives and losing them. Oftentimes nurses’ commitment comes at the sacrifice of

nurses (RNs), and 1,700 nurse practitioners (APRNs) working in clinics, schools, community

time and energy for their own family and friends. Despite this, nurses choose their field

health centers, physicians’ offices, hospitals, outpatient care facilities, home health care

because they genuinely care for others and dedicate their lives to doing so.

services and nursing care facilities in Hawai‘i; and WHEREAS, utilization of nurse practitioners and midwives in our state creates a more accessible, efficient, cost-effective and higher quality health care system; and

Now more than any time we’ve seen in our lives, in the face of an unknown virus and uncertain time, our nurses are our frontline defense. They don their uniforms day in and day out. They risk their lives to save ours. They run to the crisis, not away.

WHEREAS, the World Health Organization has designated 2020 as the “Year of the Nurse

From the bottom of my heart, and on behalf of the State of Hawai‘i, thank you, nurses.

and the Midwife” in honor of the 200th anniversary of the birth of Florence Nightingale, known

We appreciate your sacrifice and the way you’ve stepped up without hesitation to keep

as the founder of modern nursing;

us safe. Your efforts will never be forgotten.

THEREFORE I, DAVID Y. IGE, Governor of the State of Hawai‘i, do hereby proclaim the year 2020 as

“YEAR OF THE NURSE”

in Hawai‘i and ask the people of the Aloha State to join me in recognizing the importance

For the rest of us – stay calm and stay the course. Stay at home and keep your distance if you must go out. Our nurses have done so much for us, and this is the least we can do to repay them.

and indispensable value of professional nursing and the many nurses who are on the front lines of primary care, urgent care and medical crises.

Mahalo,

Done at the State Capitol in the Executive Chambers, Honolulu, State of Hawai‘i, this sixth day of April 2020.

With warmest regards, JOSH GREEN, M.D. Lieutenant Governor, State of Hawai‘i DAVID Y. IGE Governor, State of Hawai‘i

NURSES WEEK 2020 μ 5

verything you d e r o Fo

thank YOU Nurses Week 2020

On the frontline, all the time!

St. Francis Healthcare System’s nurses are proud to serve the community, especially during these challenging times.

They are heroes, motivated by compassion, a desire to provide quality care for Hawaii’s families, and an unwavering commitment to keep our state’s healthcare system resilient during this critical time.

Yet they would be the first to acknowledge that delivering quality care is a team effort. It is the entire St. Francis team working together to create a healthier community. And it is the generosity and thoughtful support of so many in the community that remind us that we are truly all in this together!

Thank you to ‘Iolani School for donating face shields to our hospice program!

stfrancishawaii.org

(808) 547-6500

6 μ NURSES WEEK 2020 THE QUEEN’S HEALTH SYSTEMS

NURSES ARE HOSPITALS’ CROWNING ACHIEVEMENT

BY NICOLE MONTON

T

he impact nurses have on their patients and communities goes far beyond what anyone could imagine. From walking someone through a devastating diagnosis to thinking of new ways to offer quality care during a worldwide pandemic, the work they do is selfless and significant.

With the start of Nurses Week right around the corner, The Queen’s Health Systems wants to honor their 1,800 health care workers that daily give their all for the betterment of others.

“In my opinion, it’s always Nurses Year,” says Mimi Harris, RN and chief nursing officer with The Queen’s Medical Center. “We celebrate the wonderful work that our nurses give every day; we celebrate it once a year, but truly it happens in the morning and evening, day after day.”

Harris, for her part, has more than four decades of nursing experience under her belt — all of it with Queen’s. Her dedication to the hospital is mimicked in her staff’s commitment to keeping Hawaii healthy.

CRISTIN MOORE, RN Molokai General Hospital

6 years as a nurse Favorite part of the job: Seeing the fear in our patients’ eyes melt away as we work hard to help them is priceless. It may not have even been me, but someone else who made them feel better. In the end, it doesn’t really matter. Looking into their eyes and seeing the trust come through, that’s what makes this job and all the horrible things we experience worth it.

Parting words: Thank you for sending masks. Thank you for staying home. Thank you for caring for each other in these times. Thank you all. Stay strong and stay safe.

Nurses at The Queen’s Health Systems work around the clock for their patients.

“My favorite thing is rounds,” she says. “When I can get out and spend time with frontline nurses, hear their stories and say thank you for the work they do, and get to know them a little bit more personally.”

Lately, with all that’s being done to flatten the COVID-19 curve, Harris finds herself on rounds almost daily, including weekends.

“I get to see the wonderful outcomes they achieve every day,” she adds. “I am so proud of them.”

Employees under The Queen’s Health Systems umbrella, nurses included,

have been facing the unknown each day they head to the hospital during the COVID-19 pandemic, and Harris is more than proud of the work they’ve been putting in.

“We should all be grateful because of the difference they make in the lives of people they take care of,” she says.

With COVID-19 impacting health care systems across the nation, the team at Queen’s quickly rose the occasion by implementing up-to-date policies and procedures to keep everyone safe. From gath-

SARAH BELLE VISITACION, RN The Queen’s Medical Center – West O‘ahu (Advanced Medical Surgical Unit)

5 years as a nurse Favorite part of the job: Being appreciated by a lot of my patients and their families. Having the sense of importance in the community is also truly an amazing feeling, especially with what is going on right now. It is such a blessing.

Parting words: We will never back out and we will always be here to take care of the sick. We will get through this just as long as we comply with social distancing, washing hands, and staying home when sick. You are not only protecting yourself, but also your loved ones.

KATIE INAMINE, BSN, RN-C The Queen’s Medical Center – Punchbowl (Medical Surgical Unit)

20 years as a nurse Favorite part of the job: Being able to make a difference in just one moment.

Parting words: I want the public to know that Hawaii’s best is working together to protect and care for our people. Be patient, stay the course, and let’s all do our part. Together we can beat this!

ering appropriate PPEs and figuring out the best food distribution method to planning for a potential influx of patients and preparing for safe screenings, The Queen’s Health Systems team is making sure it’s ready for anything.

“I’m so proud of our frontline caregivers, inc l u d i n g n u r s e s ,” a d d s Harris. “Everything is accomplished as a team that includes everyone from IT to housekeeping to dietary and physical therapy, physicians and nurses, all working together to keep each other safe.”

WILFRED HUSMAN, BSN, RN The Queen’s Medical Center – Punchbowl (Emergency Department)

15 years as a nurse Favorite part of the job: Getting to help people.

When I’m able to see my patient get better, I feel like I made a difference in their life.

Parting words: During this pandemic, I’ve been impressed for the most part by our community. The outpouring of support and love for the front-line workers has been amazing. I can’t thank all of the local businesses enough for the food, snacks and cards of support. As a state, we have been doing well, but it’s not over yet. We need to continue to follow the guidelines to ensure we keep everyone safe. I go to work for you; please stay home for me!

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Mahalo for your service, dedication, hard work and perseverance each and every day while serving Hawaii’s communities. Your efforts are greatly appreciated by all.

Like Hawaii’s Health Care Professionals, we will always be here for your health and wellness - with Care and Aloha!

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A VISUAL TIMELINE OF NATION NURSES WEEK 1953:

1978:

Dorothy Sutherland sent a proposal to President Dwight D. Eisenhower to proclaim a “Nurse Day” in October 1954. The proclamation was never made.

New Jersey Gov. Brendon Byrne declared May 6 as “Nurses Day.”

1955: A bill for a National Nurse Week was introduced in the 1955 Congress, but no action was taken.

1974: In February, a week was designated by the White House as National Nurse Week, and President Richard Nixon issued a proclamation.

1990: ANA’s board expanded its recognition of nurses to a weeklong celebration, declaring May 6-12, 1991, as National Nurses Week.

1981:

1996:

American Nurses Association rallied to support a resolution initiated by nurses in New Mexico to have May 6, 1982, established as “National Recognition Day for Nurses.”

National RN Recognition Day was instituted on May 6 to honor al of the nation’s hardworking registered nurses.

2020: The World Health Organization named this the Year of the Nurse and Midwife, in honor of the 200th birth anniversary of Florence Nightingale.

1954:

1974:

1982:

1998:

National Nurse Week was observed October 11-16. The year of the observance marked the 100th anniversary of Florence Nightingale’s mission to Crimea.

In January, International Council of Nurses proclaimed that May 12 would be “International Nurse Day.”

May 6 was formally acknowledged as “National Nurses Day.”

May 8 was designated as National Student Nurses Day, to be celebrated annually.

1972: Again, a resolution was presented by the House of Representatives for the President to proclaim “National Registered Nurse Day.” It did not occur.

Courtesy ANA Enterprise

1982: Ronald Reagan signed a proclamation on March 25 marking May 6 as “National Recognition Day for Nurses.”

2003: National School Nurse Day is celebrated on the Wednesday within National Nurses Week (May 6-12) each year.

1993: ANA’s board designated May 6-12 as permanent dates to observe National Nurses Week in 1994, and in all subsequent years.

Thank you to the early sponsors of the UH Mānoa Nursing Alumni Association 2020 Awards & Scholarship Fundraiser Hoa Hana Sponsor - The Queen’s Health Systems - Hawaiʻi Pacific Health

Thank you nurses!

A heartfelt mahalo for all you do.

Mahalo nui loa for your resilience during these uncertain times, your dedication to the nursing profession, and your compassionate care for your patients. You are a beacon of inspiration as you help patients and their families navigate illness and fear. You demonstrate courage as you skillfully deliver clinical excellence with compassion.

UH Mānoa Nursing is proud of our alumni and all nurses across the state who provide safe quality care to our community.

Celebrating 2020: Year of the Nurse and the Midwife

www.nursing.hawaii.edu

Hoaloha Sponsor - Arcadia Family of Companies - HMSA - Kaiser Permanente - Dr. & Mrs. Lawrence K. W. Tseu

Proceeds support nursing student scholarships.

Hana Like Sponsor - Adventist Health Castle - UHM BSN Fall 2008 - Maui Health - Palolo Chinese Home - Dr. Chuck Miller and COL (ret) Stephanie Marshall - University Health Partners Visit www.nursing.hawaii.edu/events for the rescheduled event date.

NURSES WEEK 2020 Îź 9

In honor of nurses and hospital week, we extend our deepest appreciation to our associates for living God’s love by inspiring health, wholeness and hope. #TogetherInspired AdventistHealthCastle.org

10 μ NURSES WEEK 2020 ST. FRANCIS HEALTHCARE SYSTEM

‘SHOW ALOHA’ TO NURSES AND KUPUNA IN NEED

BY CAROLINE WRIGHT

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indful of a compassionate legacy that began more than 135 years ago, the nurses of St. Francis Healthcare System serve patients and residents in our state’s largest post-acute care system.

“That legacy of care began when St. Marianne Cope and the Sisters of St. Francis voyaged to Hawaii to care for those with Hansen’s disease,” says CEO Jerry Correa. “The Sisters of St. Francis identified various needs in the islands, and then filled those needs with various services to create

healthy communities.”

Today, St. Francis offers myriad services and employs a team of approximately 70 certified nursing assistants, licensed practical nurses, registered nurses, advance practice nurses and nurse practitioners. Most work in St. Francis’ 40-year-old hospice program — the first of its kind in Hawaii, according to Melissa Ah Ho-Mauga, vice president of client services.

Hospice work can be incredibly challenging for health care professionals.

“Hospice nurses require a high degree of empathy to successfully turn the remaining weeks and days for pa-

tients and their families into memorable moments,” says Ah Ho-Mauga. “They ensure patients receive comfort and help educate families about the dying process, a difficult but necessary initiative to help families cope with losing a loved one.”

Some advanced practice nurses at St. Francis participate in its Franciscan CARE Plus program, a holistic, home-based service through which APNs and physicians collaborate with social workers to create care plans. Ah Ho-Mauga says that’s particularly important right now.

“COVID-19 has created unprecedented challenges, and

St. Francis Healthcare System’s Judith Bonilla, RN, is hard at work.

many in the community may feel a loss of control,” she explains. “Physical distancing helps protect individuals from COVID-19, but physical and social distancing can make individuals susceptible to mental health challenges.”

St. Francis is also part of a new project, the Show Aloha Challenge, recently created

by representatives from the private sector and a coalition of government and nonprofit providers called the Feed Our Kupuna Initiative. On April 20, St. Francis began offering free dinner deliveries to Oahu seniors — some of whom may be family members of St. Francis’ own staff.

“We know health care workers, including our own employees, are critical to a vibrant, robust health care system, but many are under tremendous stress,” says Correa. “This is our way of taking care of the people who take care of the community.”

For more information, call 547-6501.

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WE SALUTE ALL OF THE NURSES AND HEALTHCARE WORKERS IN THE FRONT LINE OF THIS CRISIS!

Nursing Financial Confidence in a Time of Uncertainty A registered float nurse at Kaiser Permanente, Esther Brub’s role is ever changing as she moves from different tasks and units of the hospital, outside of the COVID-19 affected floors (to help prevent the spread of the virus) and adapts to the diverse needs of patients.

A mother of two children, Esther was born and raised in Hawaii, and graduated from Farrington High School.

She moved to California right out of high school and got a business degree — then life happened. She got married, had children and became a stay-at-home mom. In California, she and husband Glenn owned some property, but had to short sell and take a loss in the midst of the housing crash. Starting from scratch, they decided to move to Hawaii. Here is her story.

Q: When did you start with the Tardus Wealth Coaching Program?

EB: We signed up in 2018.

Esther Brub Registered Nurse at Kaiser Permanente

700 Bishop St. Suite 501 Honolulu, HI 96813 808-440-0688 www.tardus.com

Q: How did you hear about the program?

EB: I heard about Tardus at a friend’s barbecue and their cousin was telling me about this and directed me to Tanisha Souza’s YouTube channel. It caught my attention.

Q: Why were you looking at different options?

EB: I wasn’t looking for a different approach to investing, but when this friend suggested we check the video, it sparked something in me. I told my husband, “You have to watch this; we have to do this!”

We took a different approach, as the traditional options out there didn’t work for us. We tried to invest in real estate, but took a loss in our investment and had to short sale our properties. Having investments in the stock market, we were fearful of another trend of crashing again being that the last downturn in the economy was in 2009, the market was going to turn again, as we were approaching the 10-year cycle.

The Tardus approach was more secure, something that was non-traditional. Being weary of the economic

downturn and being fearful of where our hard-earned money was going to go, as traditional investment methods didn’t work for us, I knew there had to be something better. I know many can relate as Hawaii is an expensive place to live and people struggle and some have two or three jobs.

Since I have been with Tardus, and learning more about COVID-19 when it hit Hawaii, it didn’t really bother me in regards to our finances. I knew that we didn’t have to rely on our two incomes (thankfully, we both had our jobs), but even if either of us lost our jobs, we would still be OK due to the Tardus strategy. This has been such a relief! Even through all of this, we are eliminating debt and still have extra income coming in because of Tardus.

My situation is unique where I am an essential health care employee and have seen the effects of this crisis.

I feel safe, at the end of the day.

Q: There was something about this Tardus program that really convinced you to join. Can you share what that was?

EB: Because we made some wrong financial decisions earlier in our lives, I just knew that Tardus was the solution. The end goal was for my husband and I to leave something for our two children, and be financially free and stress free. I love my job, it’s amazing and a rewarding career, but I don’t want to have to work for the rest of my life.

This also gives us control of our money. Where the stock market right now has taken its worst hit and many people are dealing with this financial crisis, we are not. If we need extra money for emergencies, it’s there. I would not be able to have this flexibility or security with other investment options.

Tardus gives you more control of your finances.

You are able to eliminate debt and make an extra stream of income. I am very thankful for Tanisha and the Tardus program. It has lifted a huge weight off our shoulders.

Ready to get your FREE Financial Coaching Starter Pack?

Your totally free starter pack includes: • Access to the passive income mini course on how to safely create passive income now • One-on-one strategy session with a Tardus wealth coach to receive a personalized crisis proofing plan • The three simple steps to financial freedom book in digital or paperback.

Let us help you with your Financial Health. Call us at (808)440-0688 to claim your FREE Starter Pack.

12 μ NURSES WEEK 2020 KAISER PERMANENTE HAWAII

LEADING THE WAY IN CARE FOR AT-RISK PATIENTS

BY NICOLE MONTON

K

aiser Permanente Hawaii members can rest assured that their health is in the able hands of the medical group’s outstanding staffers, including the 1,440 nurses who work day in and day out to keep them informed and safe.

ed procedures into easy-tounderstand instructions for families and patients managing care at home.

“Every time I see a discharge patient, they are so happy to be at home,” says home health nurse Gianna Navarro RN, MSN. The increase in telemedicine and telehealth in recent

seven years as a home health nurse. “We are able to not just be creative with our care but also show them our personal touches in their home. We give them the confidence to know they can do it on their own at home.”

Oncology nurses, meanwhile, help patients navigate their cancer diagnoses and

FLATTEN THE CURVE

Mary Jane Kanayama, RN, BSN, OCN (above), and Gianna Navarro RN, MSN (top right), help their patients.

But the nursing profession, while celebrated as a whole this week, isn’t a one-sizefits-all kind of industry. In fact, options are many, and there are a handful of teams that specialize in helping vulnerable populations, including those particularly susceptible to COVID-19, like home health and oncology.

Home health nurses play a key role in helping patients with ongoing health care management as the link between the hospital, patient and primary care physician.

They break down complicat-

weeks is par for the course for home health nurses.

“We were already doing a lot of that type of care,” explains Navarro. “We have the innovative technology to be able to provide either a direct visit, or telephone or video visits.”

In being available and accessible to patients — they even do advice calls until 10 p.m. — home health nurses become ohana to their patients.

“I’m able to build relationships with these families,” adds Navarro, who’s logged

treatments, and provide emotional support during difficult times.

“Every diagnosis, no matter what it is, changes their life, including their family members,” says Mary Jane Kanayama, RN, BSN, OCN. In addition, oncology nurses at Kaiser also rotate as advice nurses at least once a week. During these shifts, nurses offer guidance to those in need of a little reassurance, acting as a bridge between patients and their interdisciplinary team of health care providers. Kanayama,

who has been with Kaiser for 12 years, admits that oncology can be a challenging field, but, she adds, there is also a tremendous amount of joy that goes along with it.

“When a patient successfully completes their treatment, our whole team shares that victory, that success. It is inspiring to see our patient come out on the other side of their cancer journey, it is one of the best parts of the job,” she explains. “This population of patients is very resilient.

They are so brave and have a very positive outlook on life.”

During the coronavirus pandemic, nurses around the world are heading into hospitals and health care facilities to care for patients. The same is true for the hardworking nurses at Kaiser Permanente Hawaii, who risk their lives and well-being to make sure the community stays healthy.

But there are simple things the public can do to keep frontline health care workers and others safe.

“If you’re sick, please stay home,” urges Kate Roche, chief nursing executive with Kaiser Permanente Hawaii. “It’s important to wash your hands with soap and water.”

Basically, she adds, it’s everything the state Department of Health officials are saying over and over: wear a mask, keep your distance, don’t touch your face.

“That’s what will help flatten the curve,” Roche says.

NURSES WEEK 2020 μ 13

Unfortunately, cancer doesn’t stay home during a pandemic. Fortunately, neither do our Oncology Nurses.

Our clinics are open and operational to provide care to our cancer patients.

Hawaii Cancer Care offers TeleMedicine for new and existing patients.

TeleMedicine is a great way to have your doctor’s visit without having to come in person to the clinic. TeleMedicine allows your Doctor to evaluate, diagnose and treat you from a distance using telecommunication

We offer Telehealth Visits. Call (808) 524-6115, or email us at telehealth@hawaiicancercare.com to schedule your telephone or video conference.

technology. Your TeleMedicine visit may be a phone call, a video conference, or both with your Nurse or Doctor, depending on your case.

Hawaii Cancer Care salutes and thanks our dedicated and courageous Nurses, and wish them and all the Nurses on the front lines of COVID-19 a Happy Nurses Week. www.hawaiicancercare.com

14 μ NURSES WEEK 2020 HAWAII STATE CENTER FOR NURSING

A PROUD SUPPORTER OF NURSE RESIDENCY PROGRAMS, EDUCATION A

sk anyone with the Hawaii State Center for Nursing and he or she will insist that communities operate best when there are an ample number of qualified nurses to care for people.

Fortunately, Hawaii has more than enough nurses to handle just about any health crisis, including the current COVID-19 pandemic.

“We don’t have a shortage of nurses, but we do have changing needs,” states HSCN director Laura Reichhardt.

Tracking those needs while ensuring the overall health and safety of the state’s

thousands of nurses are just part of the overall mission of the center.

Since its establishment by the Hawaii State Legislature in 2003, HSCN has been tasked with several priorities, including collecting and analyzing data regarding current and future trends within the nursing workforce, supporting the state’s eight nursing programs and procuring the assistance of many community partners.

“We do a lot of work around recruitment and retention for nurses, and we support nurse residency programs in the state,” Reichhardt explains.

“In fact, we’re the first state to

have a nurse collaborative for nurse residency programs.

That’s a big honor.”

Just as importantly, the center has been a major proponent of academic progression within the nursing ranks.

Hawaii’s nurses actually comprise the most educated workforce in the country as 73 percent possess bachelor’s degrees — a noteworthy accomplishment given that the national average hovers around 56 percent.

40 percent of all nurses report that they treat patients suffering from opioid addition or dependency.

— HSCN’s 2019 Hawaii’s Nursing Workforce Supply

“We have highly educated nurses in part because of our high proportion of baccalaureate-degree programs,” Reichhardt notes. “We were also the first state in the nation to engage employers, who even if they didn’t have scholarships or tuition support to offer still created a re-

More than half of all nurses report that they treat persons with disabilities or persons who are houseless in a typical week.

— HSCN’s 2019 Hawaii’s Nursing Workforce Supply

ally supportive environment for our nurses to go back to school.

“So there’s always been this great commitment through our organizations to support our nurses in achieving advanced education.”

H awa i i b o a st s a b o u t 20,000 registered, licensed practical and advanced practice nurses, according to Reichhardt, and of those, between 13,000 and 15,000 perform clinical work. Annually, the state produces

Laura Reichhardt, Hawaii State Center for Nursing director

about 50 nurse practitioners and most of them choose to find employment here at home.

“This is important because it enables patients to receive care from people who know and understand them,” says Reichhardt. “One of the great attributes of nursing is that you have this pipeline into health careers for people who can remain in their own community.”

Mahalo

To our heroes behind the masks, we thank you.

Mahalo for the sacrifices you have made and continue to make for our family, friends, neighbors and the entire community. We recognize your hard work, compassion and care for others. It is because of you we can work towards a safer and healthier Hawaii.

From all of us at HDS, THANK YOU.

For the past 51 years we have been proud to serve the healthcare workers, firefighters and police officers of Hawaii as a small, locally owned business.

We thank you all for your years of support and your tireless work for the people of Hawaii.

15 - 25%

IN-STORE DISCOUNTS FOR NURSES WEEK

For details, visit www.UniformsHawaii.com

Uniforms Hawaii 650 Iwilei Rd # 115, Honolulu

In Dole Cannery. Park in the Costco parking lot.

(808) 536-6699

NURSES WEEK 2020 Îź 15

When the worst happens, they bring their best.

Every day, our nurses do the work that has to be done. For our patients and our communities. It is our honor to acknowledge their extraordinary dedication during this Nurses Week.

16 μ NURSES WEEK 2020

Seven honored Wilcox Health recognize nurses for their exceptional work

said there are many wonderful testimonies on the work that their nurses do and so many were submitted by peers and coworkers, the selection process was difficult.

Stephanie Shinno “Each year I am proud to recogTHE GARDEN ISLAND nize nurses who embody the core LIHU‘E – In this pandemic, nurses values of nursing: caring, integrity, are the frontline heroes recognized autonomy and altruism,” said by every community nationwide.

Foss-Durant.

Every year, during National Nurse President and CEO of Wilcox MedWeek, which starts May 6 through ical Center and CEO of Kaua‘i MediMay 12, Wilcox Health acknowlcal Clinic Jen H. Chahanovich said edges the excellence of its nursing he would like to congratulate this staff by presenting seven awards. year’s Nurse of the Year awardees Nurses represent the largest for their passion and commitment group of health care professionals in to the health of our community. the United States, numbering 2.86 “I would also like to acknowledge million. Hawai‘i Pacific health has all of our nurses for their dedication 2100 registered nurse, who work in and hard work,” said Chahanovich. a variety of roles: From executive to “They all make a difference in the frontline caregivers, all focused on quality of our lives and lay a critical creating a healthier Hawai‘i. This role during these challenging year, the week ends with the 200th times.” anniversary of the birth of Florence ••• Nightingale, the founder of modern Stephanie Shinno, features and nursing. community reporter, can be reached Anne Foss-Durant, chief nurse ex- at 245-0424 or sshinno@thegardenisecutive of Wilcox Medical Center land.com.

PHOTO COLLAGE COURTESY OF FAITH CAMPBELL

Left to right Back: Scott Johnson, Helene Larsen, Amber Elkington Front: Sarah Shane, Shana Koga, Tami Ramil and Isabelle Curtis

Mahalo!

MAHALO NUI LOA

Mahalo to our nurses and to all our hospital workers who continue to do their jobs.

You go above and beyond to make your patients comfortable and to keep our community safe.

Because of you, we live in a healthier world.

In Honor of Nurse's Week, Kaua`i H o s pH i coe nr eocro gonfi zN e sutrh se ec 'osm W pae s sei okn, a t e c a r e In and commitment of our hard working Nurses.

Kaua`i Hospice recognizes the compassionate care s uorf hSaerr dv iw c eo r k i n g N u r s e s . a n d c o m m i t m eH n te aorft o Tobias "Toby" Brown, RN, CHPN

Leslie Kilcoyne, RN

H e a r t s o f Annie S eMeredith-Mitchell, r v i c e RN, CHPN

Nathrene "Puna" Butay, RN

Karen Daly, MSN, RN, PHN, CHPN

Tobias "Toby" RN, CHPN ChelseaBrown, "Nani" Domingcil, APRN

Juliana Grigorova, RN, CHPN, Nathrene "Puna" Butay, RN CRHCF

Kristi Pajdak, RN, CHPN

Leslie Kilcoyne, Kathleen Schildhouse, RN, CHPNRN Debra Spung, RN, MSN Annie Meredith-Mitchell, RN, CHPN

Miriam Imai, RN

Marceah Stephenson-Samuel, RN

Ken Jopling, RN

Jessica Tatsuda-Merrell, RN, CHPN

Karen Daly, MSN, RN, PHN, CHPN Chelsea "Nani" Domingcil, APRN

Kristi Pajdak, RN, CHPN

Kathleen Schildhouse, RN, CHPN

www.kauaihospice.org Debra Spung, RN, MSN

Juliana Grigorova, RN, CHPN, CRHCF

Take care, stay safe.

Luis Soltren

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NURSES WEEK 2020 μ 17

Scott Johnson Clinical Excellence in Nursing Practice This award recognizes a registered nurse who has contributed positively to the nursing professional practice environment.

“I have always wanted to be a nurse, no clue why, but since I was a kid it has always been my life’s goal. Being recognized for working with this awesome group of professionals and for the privilege of caring for our island family is like extra frosting on the best cake ever.”

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18 μ NURSES WEEK 2020

Helene Larsen

Amber Elkington

Professional Advancement

Outstanding Nurse Leader

This award recognizes a nurse who has gone above and beyond in his or her role to advance the profession of nursing.

This award goes to a registered nurse who has provided leadership in advancing the profession of nursing and leading excellence in the care of Wilcox Health patients.

“I became a nurse simply because I wanted to help people get better, but I’ve found that what I really love about this profession is being able to educate and empower people by providing them with the tools they need to maintain their health. I’m especially humbled to have been selected for this honor during what the World Health Organization has deemed to be the year of the nurse and midwife in remembrance of Florence Nightingale’s 200th birthday.”

“This is an unexpected surprise and I am honored to be recognized. I love working with people and being able to build relationships with patients and coworkers. I put my energy into cultivating kindness, sustainability and positive outcomes in patients, families and staff.”

Prayers, Blessings, ALOHA and our heartfelt gratitude to all Hawai`i’s nursing, healthcare and first-responder professionals for being there for our community and our families when we need you the most.

M-A-H-A-L-O N-U-I L-O-A ! ! !

Chelsea Bisarra, RN Wellness Director

Linda Rozelle, RN

Cynthia Phillips, RN

Jennifier Agno,RN

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PO Box 30910, Anahola, HI 96703, 652-3684, www.kualii.com

NURSES WEEK 2020 μ 19

20 μ NURSES WEEK 2020

Sarah Shane

Shana Koga

Community Stewardship

Exemplary Nurse Mentor

This award recognizes a registered nurse for participation in the community that contributes to the mission of Wilcox Health to create a healthier Hawai‘i.

This award recognizes a registered nurse for outstanding contributions mentoring within the nursing profession.

“It is an honor to be allowed into moments where patients and their loved ones are so vulnerable and to be equipped to do something to ease pain, share tears when appropriate, offer comfort, and work together with them as a team to improve their health, which then impacts the community as a whole. I’m grateful to have the privilege of serving our community and to be invited into the lives of so many amazing people. I enjoy the work that I do and feel honored to receive this award.”

“During my last year of college my grandfather underwent cardiac surgery. I remember our family being scared and uncertain of what the outcome would be. He had a handful of nurses but one in particular stood out. She was friendly, caring, and took every opportunity to explain what was going on. She treated him like he was her own grandpa and made us all feel like everything would be OK. It was then that I knew I wanted to be a nurse and be that person for someone else.”

In honor of nurses week, thank you to those who In honorand of nurses week, thank you to thoseWe whoare all serve protect our community.

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22 μ NURSES WEEK 2020

Tami Ramil

Isabelle Curtis

Excellence in Patient Centered Care and Patient Experience

Emerging New Nurse This award recognizes a registered nurse with 3 years or less experience in the nursing profession that demonstrates exemplary attributes as a new nurse in the workplace

This award recognizes a registered nurse that exhibits excellence in patient care as evidenced by comprehensive assessment of each patient’s unique needs and implementation of a personalized plan of care to meet those needs to include exceeding patient expectations and providing an exceptional patient experience.

“I am so honored to be selected. As with most nurses, our main focus is always patient centered and being able to help patients and their families is a gift.”

“I am honored and humbled to receive this award. I wouldn’t be where I am today if it weren’t for the opportunities provided by the hospital. Wilcox Medical Center and staff have helped my growth as a professional nurse, and continues to influence me to be the best nurse I can be. It feels great to be recognized for all of my hard work and I look forward to serving the community where I was born and raised.”

MAHALO NURSES and all medical facility staff

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Each and every day it is recognized that the gifts of quality health care are given at personal risk of exposure to infection by all of the team in our medical facilities, and even their families. We extend gratitude for the success our Kaua`I community has achieved at resisting the COVID19 virus; may it continue.

~ Good Job Everyone ~ www.FeliciaCowden.com

NURSES WEEK 2020 μ 23

‘Showing the love and aloha spirit’ Hawai‘i embraces aloha print masks while fighting coronavirus

ing as a cheerful expression of Hawai‘i as people persevere through the sometimes dreary days of staying indoors, avoiding other people and eschewing customary hugs and kisses.

It’s “another way of really showing the love and aloha spirit for each other,” said Candy Suiso, a high school

Audrey McAvoy ASSOCIATED PRESS HONOLULU — Face masks made with the same colorful prints used for aloha shirts — known as “Hawaiian shirts” elsewhere in the United States — are the latest fashion trend in Hawai‘i as islanders try to prevent the spread of the coronavirus.

Disposable surgical masks are in short supply, and people want to preserve what’s available for nurses and doctors working with COVID-19 patients.

So those who know how to sew are digging fabric scraps out of their closets or

teacher who wears masks made by her sister. “Especially in these times right now, when we can’t see our family, we can’t see our friends, we can’t see our co-workers.”

As of Tuesday, Hawai‘i reported 517 people had tested positive for the coronavirus and nine people had

COTY GEORGE VIA AP

Selfie photo provided by Coty George shows George in Waianae, Hawai‘i, wearing a green cloth mask with yellow and orange puakenikeni flowers made by the Hawaii designer Air South. cutting up old aloha shirts to make masks at home. Local designers are offering some for sale online, but are struggling to keep up with a surge

in demand as people scramble to adhere to new public health guidelines to cover their mouth and nose.

The aloha prints are serv-

Family-owned and Operated

died.

Aloha shirts first emerged in Hawai‘i in the 1930s and became accepted business wear locally in the 1960s.

They often come in bright colors, featuring island motifs such as hibiscus flowers, seashells and palm trees. Or

SEE ALOHA, PAGE 24

Mahalo to our Nurses, Doctors, First Responders and all others who are on the front line for us!!

808-245-9485 3148 Oihana St. Bay 6, Lihue, HI 96766

24 μ NURSES WEEK 2020

Aloha Continued from page 23 they might show Chinese calligraphy or Japanese carp, reflecting the myriad cultures of immigrants who have shaped Hawai‘i’s modern culture.

Some of today’s most sought-after designers use fabric drawn with native plants that play a prominent role in Native Hawaiian legends and hula chants.

Suiso wore a bright bird of paradise mask recently when she went to pick up something at her office. Everyone serving free grab-and-go lunches so students can eat while school is closed was wearing masks, most with aloha prints.

Her husband Mark, who works at a bank and thus is still going out daily, wears one with mangos, in reflection of the mango farm the family runs in the town of

We We We We

KINI ZAMORA VIA AP

Hawaii fashion designer Kini Zamora shows masks in Halawa, Hawaii. Face masks made with the same colorful prints used for aloha shirts are the latest fashion trend in Hawaii.

Makaha.

“He’s known as the Mango Man, so when he wears his mango mask, it’s a nice topic of conversation,” she said.

Waikiki resident Ricardo Lay said his mother made him an aloha print mask because it’s hard to find protective gear for sale. He likes it because it’s an expression of where he’s from. “People know that I’m from here, right? That’s the primary reason.”

appreciate appreciate appreciate appreciate

On Monday, Honolulu Mayor Kirk Caldwell declared fabric stores an essential business, allowing them to sell to an onslaught of people wanting to make their own masks.

Hawai‘i designer Kini Zamora’s foray into masks started with YouTube videos he made to show people how to make their own.

Then he began making masks to donate to hospitals, school food servers and

people who deliver Meals on Wheels to seniors.

Zamora found many wanted to buy masks from him because they don’t sew, didn’t have fabric or wanted to contribute to his donation efforts. So he started selling masks online, pledging to donate two masks for each one sold. His first batch of 50 to 100 sold out within a day.

His latest batch of 50 sold out in a few hours.

“Everyone just flooded

our emails wanting more. I was like, ‘Oh my gosh, everybody just needs it right now, I guess,’” Zamora said. “It just came super quick.” So far, he’s donated more than 600 masks and sold about 300.

Nurse practitioner Coty George generally wears a surgical mask while working, or an N95 respirator mask like when she recently took swabs from patients to test them for COVID-19.

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But at home she wears a cloth mask to protect her 4-year-old son and 2-year-old daughter just in case she may have contracted the disease at work. She doesn’t want to infect them, and then have them infect her parents who babysit. She recently posted on social media a photo of her modeling one of her cloth masks, from the designer Ari South, over a surgical mask. It has yellow and orange puakenikeni flowers on a green background.

George said the locally made aloha print masks hearken back to the long-ago days when people in Hawaii would make clothes out of rice sacks.

“It reminds you that we can do this, we can be sustainable, we can be resourceful,” she said. Plus, the aloha prints are more personal.

“You have to wear it anyway, why not be proud to wear it and to feel somehow supported by the community,” she said.

NURSES WEEK 2020 μ 25

To love and to cherish: Nurse couple unites to fight virus Carla K. Johnson ASSOCIATED PRESS Between surgeries one stressful morning, Ben Cayer and Mindy Brock — husband and wife, and fellow nurse anesthetists — peered through layers of protective gear, and locked eyes.

It was a lovers’ gaze in the most unlikely situation. A co-worker was there to snap a picture.

Now the image, shared on social media, is inspiring people around the globe.

“Everybody’s talking about the photo,” says Cayer, 46. It strikes a chord “because we’re all going through the same thing right now and it’s a symbol of hope and love.”

Brock, 38, adds: “What’s important is that we stick together, we work together, and we always support each other. And not just Ben and I, but the human race right now.”

The Florida pair share a home, a profession and, now, a mission — shouldering the high-risk duty of

NICOLE HUBBARD VIA AP

Nurses Mindy Brock and Ben Cayer, wearing protective equipment, hold each other and look into each other’s eyes, in Tampa General Hospital in Tampa, Fla. placing breathing tubes in surgery patients, any of whom may have COVID-19.

They didn’t think twice about volunteering for Tampa General Hospital’s new “airway team,”

Cayer says.

Placing a tube into a patient’s mouth and down into their airway requires close contact — and because the virus spreads in droplets, the highest level of protective gear. To conserve gear and expose fewer health care workers, the hospital pared down staff to a minimum for intubations before surgery.

Their patients have been in car crashes, or needed brain surgery because of a ruptured blood vessel. As is the case at many U.S. hospitals, only emergency surgeries continue at the Tampa hospital, to make room as the pandemic continues to crest.

They met in nurse anesthesia school in 2007. In classes, they sat in alphabetical order. Brock next to Cayer, she says, “and it just took off from there.”

They married five years ago and now work for TeamHealth, a medical staffing firm.

But on the morning of the photo, they bickered during the drive to work. They disagreed

about what to play on the car radio, and who was doing the dishes at home.

The new COVID-19 procedures — it was Brock’s first day on the new team — were making them both tense.

“We were arguing,” she says.

Later, they found each other between surgeries. The tension melted. “All those trivial things that we were arguing about that morning, in the grand scheme of things, aren’t that important.” The photo captures that moment.

He says they don’t worry much about getting sick, although the virus has come close. Brock’s mother has recovered from it.

Co-workers fear catching it. Patients feel alone because visitors have been strictly limited.

“We have grown men bawling because none of their family can be there with them,” Brock says.

It helps to be married to another nurse, because “unless you’re here doing this, there’s no way to describe it,” she says. “He gets it.”

26 μ NURSES WEEK 2020

Italian nurse and mom can’t drop guard at home ASSOCIATED PRESS MILAN — Every evening, when Pasqualina Conte returns home from a draining day as a nurse in a Milan emergency room for coronavirus patients, she longs to hold her 9-year-old son, Andrea. But for 50 days and counting, the two have not hugged.

At sunrise, Conte has the breakfast table set. Barely an hour later, she will be slipping on her protective gear at San Carlo Hospital, one of the medical facilities at the epicenter of Italy’s COVID-19 outbreak in Lombardy.

Schools are closed, so she drops Andrea off on her way to work at a friend’s.

Andrea’s father left them when he was 3 months old, she says. At the outbreak intensified, Conte — in a state of panic — wanted to send Andrea to his grandparents in Italy’s south. But by the

ANTONIO CALANNI/ASSOCIATED PRESS

LEFT: Nurse Pasqualina Conte stares at the camera at the end of her shift in the emergency COVID-19 ward at the San Carlo Hospital in Milan, Italy. Nurse Pasqualina Conte waits for her son Andrea to get ready before leaving home ahead of her work shift. time the thought occurred to her, lockdown rules forbade such travel.

When Conte and Andrea leave their home, each wears a mask and disposable gloves. She takes no chances even though she has repeatedly tested nega-

tive for the virus.

“I could become positive from one moment to the other at work,” says Conte, who is 45.

Some 30 nurses in Italy who contracted COVID-19 have died, according to an Italian nursing association.

Conte wears a surgical mask at home, taking it off practically just to eat and sleep.

Her day is packed: Patients to examine. Swab tests to administer. A video call from an isolated patient’s daughter. Some eight hours later, Conte slumps on

a bench, then wipes away tears.

Conte recalls how only she was able to adjust one patient’s pillows just right to make it easier for her lungs to do their work. Eventually, the woman needed to be connected to a respirator.

Conte says the woman told her she didn’t fear being sedated because, she said, “When I wake up, I’ll find you.” But recalling a doctor’s grim assessment of her patient’s chances, Conte chokes back tears: “She won’t wake up.”

Andrea was angry at first.

“He told me all the other parents were home” with their children, Conte says.

Some nurses, Conte said, took leaves of absence. “The idea that I wouldn’t go (to work) because there was this emergency never in the least entered my head,” she says.

With time, Andrea has begun to see the situation differently. He has offered what’s in his piggy bank to help nurses like his mother.

“Some days she returns a bit destroyed after work is finished,” Andrea says. “I’m proud of her, I’m very proud.

She’s on the front line.”

MAHALO nurses, doctors and healthcare workers on the front lines

NURSES WEEK 2020 μ 27 HAWAII - AMERICAN NURSES ASSOCIATION

KEEPING HAWAII’S NURSES INFORMED, SAFE

How long have you been a nurse? years.

Four years What do you love about your job? emotional, mental and physical health Our e dictates our lifestyle and ability to achieve our goals. The nursing profession provides me joy

BY NICOLE MONTON

H

awaii boasts more than 17,000 registered nurses across the island chain, an impressive statistic considering the state’s small size.

And although they excel in different specialties at a number of medical institutions, there is an organization that unites them all under a national venture that provides them with an extra level of support.

Hawaii - American Nurses Association is the state’s professional organization of registered nurses, and although a relatively new one — it officially launched back in December — it’s ready to serve the thousands of nurses who work in Hawaii. Its main goal is to advo-

cate for Hawaii’s nurses in whatever way possible, something the organization does extremely well.

During COVID-19, for example, Hawaii - ANA has been working with its national network to get PPEs for local nurses. Representatives also lobby for the nursing profession and Hawaii’s health care systems.

“When there’s bills, everything from homelessness to mental illness and health care bills, we follow those,” says executive director Linda Beechinor, DNP, APRN. This goes for national legislation, as well. As a constituent member of the national ANA, Hawaii’s local chapter advocates for vulnerable populations within communities, as well as for the nursing profession as a whole. Being part of that larger body of industry profes-

sionals has a number of benefits, which is coming in handy during this COVID-19 pandemic.

“A lot of other state are ahead of us in the process of dealing with the virus, and we can anticipate what issues are coming up based on other states as they progress through it,” explains Beechinor.

And, right now, Hawaii - ANA members can access a special seven-day stay benefit, courtesy of American Express and Hilton hotels.

“It’s very scary for nurses. It becomes an issue when they are at work and then they go home to their family. They don’t want to bring contaminates home,” she adds. (Not a member yet? Register online at hawaii-ana.nursingnetwork.com.)

daily, as I have the opportunity to coach patients, caregivers and colleagues to achieve their definition of wellness and success.

KATIE KEMP, RN-BC, BAN Lead RN and case manager with Oahu Home Healthcare President of Hawaii - American Nurses Association

Can you explain the origins of Hawaii - ANA? Hawaii - American Nurses Association is the newest state nurses association as a constituent of American Nurses Association. Over the threeyear building process, we had many moments of challenge and excitement. As a founding member, I am most excited about the opportunity to engage with nurses outside of my place of work to strengthen the nursing profession in the state.

Is there anything Hawaii - ANA would like to share?

We want to hear from nurses on their experiences of caring for COVID-19 patients, and the resulting changes to their practice settings. Nurses have the ability to enact change but it only comes from speaking out and informing legislation on the clearly identified issues. In order to best support our nurses, we need to hear your challenges, fears and moments of enlightenment. We can be reached at hawaii-ana.nursingnetwork.com or president@hawaii-ana.org.

Here’s to our heroes

Thank you for everything you are and everything you do.

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28 Îź NURSES WEEK 2020 PALI MOMI MEDICAL CENTER

SUPPORTING OUR LEEWARD FAMILIES

BY KYLE GALDEIRA

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n honor of National Nurses Week, the professional team of nurses at Pali Momi Medical Center is heralded for putting patients first and working together.

Pali Momi Medical Center is home to approximately 325 nurses on staff, and like a team sport, these highly skilled professionals work well as a unit and prioritize the care of patients as well as one another. Many of the nurses at Pali Momi also have professional certifications in their areas of specialty.

Throughout Pali Momiâ&#x20AC;&#x2122;s rich history of serving Central and West Oâ&#x20AC;&#x2DC;ahu and its burgeoning population, the medical center has pioneered multiple advances that have enhanced both the quality of care and overall comforting familial experience received by patients. One of Pali Momiâ&#x20AC;&#x2122;s early benchmarks for successful patient treatment came more than a quarter century ago when the

â&#x20AC;&#x153;Nurses are with patients around the clock. They are the professionals who spend the most time with patients and advocate for their needs.â&#x20AC;? â&#x20AC;&#x201D; Brigitte McKale

medical center became the fi rst facility to offer a cardiac catheterization lab designed to serve Leeward Oahu in detecting heart disease. The â&#x20AC;&#x153;cath lab,â&#x20AC;? which became interventional in 2008, allows for immediate treatment of heart conditions, thus eliminating the need to transport patients into Honolulu.

Pali Momi is also lauded for establishing the stateâ&#x20AC;&#x2122;s

Brigitte McKale, Pali Momi Medical Center vice president of patient services and chief nurse executive

first retina center in 1992, through which a complete range of services are offered to treat various vision-related ailments and conditions. Nine years later, Pali Momi provided the Leeward Oahu community with its first permanent MRI scanner â&#x20AC;&#x201D; another advancement that allowed patients to stay close to home instead of driving to other hospitals

FIRST ON THE

FRONTLINE

With 118 beds and more than 500 physicians on its medical staff, Pali Momi Medical Center offers a full range of services to serve the communities of Central and West Oahu. The hospital has delivered many medical firsts for the community, including Central and West Oahuâ&#x20AC;&#x2122;s only interventional cardiac catheterization units to detect and treat heart disease and the largest comprehensive center for cancer care. It is designated as a Level III Trauma Center as well as a Primary Stroke Center, which recognizes its high-quality care for stroke patients. Pali Momi also has a fully integrated minimally invasive surgical suite, emergency services, a comprehensive womenâ&#x20AC;&#x2122;s center, CT scan and MRI services, and the stateâ&#x20AC;&#x2122;s first retina center.

NURSES WEEK 2020 μ 29 PALI MOMI MEDICAL CENTER

CELEBRATING NURSES WEEK: MAY 6-12, 2020

JENNIFER BILAN, RN Pali Momi Medical Center

8 years as a nurse Favorite part of the job: I love when patients remember me months and even years after I’ve taken care of them. It’s such a gratifying feeling to see patients out and about, doing well and knowing that I got to be a part of their recovery and journey in life.

Parting words: Everyone needs to do their part. Stay home and help to flatten the curve.

I want them to know that patients who don’t make it are dying without family members getting to be there with them to hold their hand. I want everyone to think twice before you break the rules and go out.

to undergo MRI tests.

In the wake of the COVID-19 pandemic, the nursing team serves as an important facet of the broader health care team at the medical center, and the local community has been extremely appreciative of their efforts.

“Nurses are with patients around the clock.

They are the professionals who spend the most time with patients and advocate for their needs,” says Pali Momi Medical Center vice president of patient services and chief nurse executive Brigitte McKale.

“Some of our nurses have even stepped forward to volunteer specifically to treat patients who are diag-

nosed with COVID-19 and to staff our COVID-19 driveup specimen collection site.

They are the epitome of the tremendous team spirit here at Pali Momi.”

Patients as well as other medical center team members have been impressed by the nurses’ dedication to their profession and to those they serve, especially during the rapidly evolving coronavirus crisis.

“We often receive beautiful cards and letters from the community thanking and informing us of the impact our nurses have on patients and their families,” McKale says. “These heartwarming messages are very powerful. We hear that nurses connect with patients and their loved ones and touch the hearts of many.”

It is that connection that McKale mentions that patients and fellow staff members appreciate as the emotional, human element is folded into the health care experience. During these unique times, nurses have

Mahalo for your dedication to the health of our community. We recognize and celebrate your strength and compassion while leading the front lines of care.

HawaiiCentral.org Keep Smiling gone beyond the call to help patients feel comfortable, while also keeping safety top of mind throughout the process.

“Nurses understand that a patient’s loved ones play a key role in their recovery,” McKale adds. “Unfortunately, during this pandemic, we have had to restrict visitor access to our medical centers. Nevertheless, our nurses have made the extra effort to connect many patients to their family via voice or video calls.”

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30 Îź NURSES WEEK 2020 STRAUB MEDICAL CENTER

COMPASSION, DEDICATION

ARE EVIDENT IN QUALITY CARE

BY KYLE GALDEIRA

W

ith over 400 physicians who are leaders in their fields, Straub Medical Center provides its patients with

diagnoses and treatments encompassing more than 32 different medical specialties, including bone and joint care, heart, cancer, endocrinology/diabetes, family medicine, gastroenter-

ology, geriatric medicine, internal medicine, vascular and urology.

Straub is home to the Pacific regionâ&#x20AC;&#x2122;s only multidisciplinary burn treatment center. For almost 100 years

Founded in 1921, Straub Medical Center includes a 159-bed medical center in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawaii.

Straub has been recognized with numerous awards for quality, patient safety and experience, including being the only hospital in the state of Hawaiâ&#x20AC;&#x2DC;i to receive the Healthgrades 2020 Americaâ&#x20AC;&#x2122;s 250 Best Hospitals Award and the Healthgrades Outstanding Patient Experience Award for 10 consecutive years (2010-19). It also received an â&#x20AC;&#x153;Aâ&#x20AC;? in the Leapfrog Hospital Safety Grades, and was the first hospital in the state to receive a five-star rating from the Centers for Medicare and Medicaid Services.

â&#x20AC;&#x153;... our nurses constantly go above and beyond for their patients.â&#x20AC;? â&#x20AC;&#x201D; Andrew Moats

â&#x20AC;&#x201D; Straub Medical Center will celebrate its 100th anniversary in January 2021 â&#x20AC;&#x201D; the hospital has consistently brought new technologies and innovative medical practices to Hawaii, such as minimally invasive cardiac surgery and total joint replacement. Straub is an affiliate of Hawaii Pacific Health, one of the stateâ&#x20AC;&#x2122;s largest health care systems

Mahalo for all you do.

Nurses deserve our gratitude every day of the year.

Thatâ&#x20AC;&#x2122;s why this National Nurses Week, we want to take a special opportunity to recognize these heroes in scrubsâ&#x20AC;&#x201D;heroes who are serving on the front lines of the COVID-19 crisis.

At Chaminade, weâ&#x20AC;&#x2122;re proud to say weâ&#x20AC;&#x2122;ve been educating nurses for a decadeâ&#x20AC;&#x201D;and preparing them for not only a profession, but a calling. :H VHH Ĺ´UVW KDQG WKH FRPSDVVLRQ GHGLFDWLRQ DQG VHQVH RI VHUYLFH LW takes to be a nurse.

To our nursing graduates near and far, and to all their nursing colleagues: know that you have our deepest thanks for all you do.

This week and every week, we thank you.

3140 Wai'alae Avenue, Honolulu, Hawai'i 96816 (808) 735â&#x20AC;&#x201C;4711 | chaminade.edu

and a not-for-profit health care organization with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawaii and the Pacific region with high-quality compassionate care.

With the observation of National Nurses Week, S t ra u b M e d i c a l Ce n te r proudly features a team

Andrew Moats, Straub Medical Center director of hospital operations and chief nurse executive

of 467 registered nurses.

Straub Medical Center director of hospital operations and chief nurse executive Andrew Moats appreciates

NURSES WEEK 2020 μ 31 STRAUB MEDICAL CENTER

CHAMAIGNE RALSTON, RN Straub Medical Center

9 years as a nurse Favorite part of the job: I love that I work with amazing nurses who share the same passion as I do. Nursing is hard work when caring for patients, but it’s equally rewarding when they’re better and on their way home to their families. Nursing has not only changed my life, it improved it for the better.

Parting words: We understand that you are scared; we are, too. Our job during the pandemic is to provide the best care for you, but also we must protect ourselves. I believe we need to adhere by the proper guidelines set forth as it is just common sense. Don’t put others in harm’s way; it could potentially be your own loved ones.

what the medical center’s nurses are truly known for: the incredible amount of caring for its patients that

they exhibit daily throughout every shift, no matter what the situation is — the nurses truly care for and

Mahalo

about every single patient, and it shows.

During the coronavirus pandemic, the nursing team at Straub Medical Center serves as an integral cog within the broader health care squad of professionals tasked with caring for local residents.

“Nurses have played a critical role in taking care of the community right from the start of the COVID-19 pandemic,” Moats says.

“Nurses have helped to set up and are running our COVID-19 drive-up specimen collection site, they developed and are staffi ng our respiratory evaluation clinics, and they are assessing patients over the phone in our new COVID-19 virtual clinic. They are also taking care of COVID-19 patients

who are identified and in need of critical inpatient services and supporting them through their recovery.”

Patients and fellow hospital team members alike are impressed by the nurses’ dedication to their profession and to those they serve, during this rapidly evolving COVID-19 crisis and for generations to come.

“We consistently hear feedback from patients, families and other team members that our nurses constantly go above and beyond for their patients,” Moats adds. “From bringing them a birthday cake to making sure they have all the supplies and medications they need to take care of themselves at home, our nurses are dedicated to providing top-quality and compassionate care for each of their patients.”

Thank you to all the nurses on the front line!

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32 μ NURSES WEEK 2020 KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

HAWAII’S NURSES ARE ALWAYS READY, WILLING TO SERVE

BY KYLE GALDEIRA

W

ith over 750 spec i a l i ze d n u r s e s making an impact on the lives of patients every day, Kapiolani Medical Center for Women & Children is home to a dedicated team of nurses who are clearly devoted to the profession, and providing patients and families with safe and quality care.

National Nurses Week brings attention to these health care professionals who are committed to their role as the patient’s advocate, demonstrating compassion and empathy, and

Mavis Nikaido, Kapiolani Medical Center for Women & Children vice president of patient services and chief nurse executive

connecting with each patient to meet their medical needs and support.

According to Mavis Nikaido — vice president of patient services and chief nurse executive at Kapiolani Medical Center for Women & Children — nurses and fellow peers in the industry entered their respective health care professions knowing full well that, at times, they would be put at the forefront of some unknown and potentially risky situations.

In the case of the current COVID-19 pandemic, nurses come to work focused on remaining professional and providing safe, quality care for patients.

“The community needs n u r s e s a n d o u r e n t i re

In these uncertain times, the simplest words are the best...

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health care team to provide the care and support they need,” says Nikaido, RNC, BSN, MHRM. “However, our team also needs the support of our community during these uncertain times.

Nurses and all of our staff have felt the community’s support daily with donations of personal protective equipment, food, gifts, fabric masks and even just words of encouragement.

“It has been amazing to see everyone pulling together for each other. The tremendous support received from the community helps build our morale, determination, and fight to

KAPIOLANI’S CONTINUUM OF CARE

Kapiolani Medical Center for Women & Children was formed by the merger of Kauikeolani Children’s Hospital and Kapiolani Maternity Home in 1978. Today, it is recognized as Hawaii’s leader in the care of women, infants and children.

Kapiolani Medical Center for Women & Children is Hawaii’s only maternity, newborn and pediatric specialty hospital with a total of 253 beds. It is also a tertiary care, medical teaching and research facility.

Specialty services for patients throughout Hawaii and the Pacific include intensive care for infants and children, 24-hour emergency pediatric and adult care, critical care air transport, high-risk perinatal care, and oncology services for children and women.

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NURSES WEEK 2020 μ 33 KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN

MEREDITH UTHOFF, RN, BSN, CCRN Kapi‘olani Medical Center for Women & Children

12 years as a nurse Best part of the job: My favorite thing about being a nurse is being there for my patients on the worst day of their lives.

Hopefully, I am making that day a little less scary and a little more comfortable, and helping them make progress in their recovery so they can go home sooner.

Parting words: I am so proud of Hawai‘i in their efforts to flatten the curve. The numbers are showing that the measures we are taking are working. As much as we all want this to be over, we don’t want to backslide. It is imperative we continue to social distance, wash our hands, and try to remain as healthy as possible.

We can do this. You can do this.

win the battle against this pandemic.”

As communities around the world deal with the coronavirus and its inherent uncertainties, nurses at Kapiolani Medical Center for Women & Children continue to show up to work unselfishly to care for their patients, many times not knowing what they will face throughout the day. Initially, there was a great deal of uncertainty around how to best address the challenges of the rapidly evolving pandemic as the situation changes, in many cases on a day-by-day basis.

However, as Nikaido explains, through the daunting process, all the nurses at Kapiolani M e d i c a l Ce n te r for Women & Children remain present and ready to serve in whatever capacity they

are needed. To help with the health care process, patients have been understanding of the changes to visitor procedures and other measures that needed to be put in place, and understand that these adjustments have been made for their safety and the safety of the staff caring for them — it’s a team effort, and everyone is addressing the situation together.

“I am so very proud and grateful to work alongside all of our nurses here who are dedicated to providing excellent nursing care for our patients 24 hours a day, seven days a week,” Nikaido says.

“Each one shares their heart and soul for our patients and also for their peers here at Kapiolani Medical Center for Women & Children. I truly appreciate each and every one of them for being part of our ohana.”

*÷þ÷ĂąM Thank you to our more than 1,100 public-sector registered nurses on the frontlines — for your tireless

úûúÿù÷ĉÿąĄ ÷Ąú ùąăăÿĉăûĄĉ, for going

÷øąċû ÷Ąú øûĎąĄú in helping patients and families, and for demonstrating

ùąĊć÷ýû ÷Ąú ùąăĆ÷ĈĈÿąĄ during this critical time. You are all truly invaluable.

34 μ NURSES WEEK 2020 HEALTHCARE ASSOCIATION OF HAWAII

NURSING IS A FAMILY AFFAIR FOR LOCAL HEALTH CARE PROFESSIONAL

N

urses are highly trusted members of their patients’ health care teams. They swaddle newborns when life begins, and bring comfort when life is ending.

“Nurses do it all, from delivering care in a patient’s home, to high level administrative roles running organizations such as skilled nursing facilities, home care companies or hospitals,” said Hilton Raethel, MPH, MHA, who serves as president and CEO of Healthcare Association of Hawaii. “I know of a Hawaii nurse who is the president at Adventist Health Castle, and that’s my wife Kathy Raethel.”

During the COVID-19 pandemic, the U.S. relies on nurses more than ever. During Nurses Week, HAH looks to its own staff member Kathleen Libao-Laygo, RN, senior director of quality and regulatory affairs. She has been with HAH for more than five years.

Prior to that, she worked in direct patient care, utilization and case management.

“It’s crucial to give special recognition to nurses this week,” Libao-Laygo said.

“Nurses are relentless. Their

Post-anesthesia care unit nurse Gail in her PPEs.

Hilton Raethel, MPH, MHA, Healthcare Association of Hawaii president/CEO

compassion and dedication is obvious during the pandemic, but that’s nothing new to them.

“Many of us are staying at home, but nurses who know the potential risks for COVID-19, still go to work for each of their shifts. We need to acknowledge our nurses and shine a light on them. We need to let them know that we see them, and they are very much appreciated.”

During her childhood, Libao-Laygo got a close look at health care from watching her parents. Her mom was a registered nurse in long-term care, and her dad was a physician, specializing in pulmonary disease. Both are now retired.

“Truth be told, I was not initially looking to enter the healthcare profession, but then I learned how diverse and flexible a nursing degree is,” Libao-Laygo said. “One could do direct patient care, or research, or even become a legal nurse consultant. In hindsight, having seen my parents so dedicated to — and enjoying — their careers

heavily influenced me,” she said, noting that her oldest son, Brandon, has decided to pursue nursing. He started college last fall.

At HAH, Libao-Laygo works with members on best practices and quality measures.

This includes member education, such as bringing joint commission training to Hawaii annually and a multitude of webinars throughout the year.

She holds workshops for the National Quality Awards for nursing homes and assisted living facilities and is pleased to share that Hawaii now has 10 National Quality awardees.

There were zero when she started with HAH. In addition, Libao-Laygo loves her job.

“We are dedicated to providing high-quality care and treatment for our communities and our families. Healthcare is not a perfect system,” she added. “There are many opportunities for improvement, not unlike any other industry, but, it’s great to work with — and face challenges with — people who are willing to convene, work together and remove barriers for positive changes.”

One of her key programs for the past four years has been Health Improvement and Innovation Network, a national quality improvement initiative for hospitals with Premier Inc. Twenty-two Hawaii hospitals participate in this federally funded project to better serve patients by reducing hospital readmissions and adverse events such as infection, while improving patient safety. LibaoLaygo has been overseeing a performance coach who works with hospital nursing

Kathleen Libao-Laygo, RN, senior director of quality and regulatory affairs, has been with Healthcare Association of Hawaii for five years.

staff across the state.

Raethel said that HAH has been working hard to help and support nurses and other healthcare professionals during the pandemic.

“We’ve been securing personal protective equipment, such as masks, face shields and gloves for Hawaii’s frontline health care workers, many of whom are nurses,” he said.

HAH has stepped in to help deliver PPE from its storehouse, run by its subsidiary Hawaii Healthcare Emergency Management.

HHEM has also received PPE from the Strategic National Stockpile, and is purchasing more through various channels. HHEM and HAH are also working with local distillers to increase the hand sanitizer supply, and with local manufacturers, schools and businesses to make masks and face shields.

HERE’S HOW YOU CAN HELP YOUR NURSES 1. Donate personal protective equipment, such as masks, gloves, surgical gowns, etc., if you have them, or consider making masks at home for donation. Go to hah.org for a link to the listing of hospitals accepting PPE donations.

2. Donate to the PPE fund to purchase new items for Hawaii’s health care workers. Find out how at hah.org.

3. Consider volunteering for the Medical Reserve Corps, whether you have medical training or not. Go to nlk.doh.hawaii.gov.

In addition, Raethel called attention to HAH’s collaboration with the state Department of Health to recruit volunteers for the Medical Reserve Corps.

“We’re looking for a deep bench of volunteers to help support the fight against CO-

VID-19,” he said.

Trained medical professionals, not currently working, can register as healthcare volunteers. Volunteers without medical backgrounds are also needed for non-medical jobs.

See the sidebar to learn more about how you can help.

NURSES WEEK 2020 μ 35

GIFTS THAT GO A LONG WAY

N

Coffee mugs and other insulated containers are ideal for nurses who need their caffeine-fix while on-the-go.

urses Week is right around the corner, and while the words and well-wishes for their hard work and dedication are more than appreciated, you can also let them know how extraordinary they are with an appreciation gift during their special week.

From functional presents like lunch bags, tote bags, insulated drink holders, apparel and smocks, outdoor items and badge holders, to fun, practical and romantic gifts, you’ll be sure to find something special for the nurses in your life.

Still not sure what to get them? Well, you can always ask, too.

Snag a multi-use lunch bag that’s perfect for those who want to pack a nutritious homemade meal and some snacks.

A personalized badge reel or holder will allow nurses in your life to show off their style, while still being practical as they’re going about their day.

Our Heroes To the health care professionals, ÄYZ[ YLZWVUKLYZ HUK L]LY` essential worker on the front SPULZ VM ÄNO[PUN *6=0+ V\Y KLLWLZ[ THOHSV MVY `V\Y PUJYLKPISL KLKPJH[PVU @V\ HYL V\Y OLYVLZ

//////// Science for a better life hawaii.bayer.us

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36 μ NURSES WEEK 2020 SHRINERS HOSPITALS FOR CHILDREN — HONOLULU

IMPROVING THE LIVES OF HAWAII’S VULNERABLE KEIKI

BY CAROLINE WRIGHT

H

ospitals aren’t often considered joyful places, but Shriners Hospitals for Children — Honolulu defies the stereotype.

From the moment one enters the hospital’s lobby, bright with color and fixtures designed to comfort and delight children, it’s obvious that joy is part of the daily routine here.

And it carries over to the nursing staff at this very special hospital. As director of patient care services and chief nurse executive, Anita Becker, MSN, RN, describes Shriners’ team of nurses as

(Back, from left) Maria Ress, RN, surgical services manager; Gail Miyasato, RN/PACU; Tammy Fano, RN/OR and PACU; (front) Cat Stevens, sterile processing department tech; and Vanessa Sagaoinit, scrub tech, work together to keep patients safe.

MAHALO FROM MIDAS HAWAII TO ALL OUR NURSES AND FIRST RESPONDERS

FAMOUS FACES Over its 97-year history, Shriners Hospitals for Children — Honolulu has served the needs of more than 43,000 children from Hawaii and the Pacific region.

“Our model for care was established by the Shriners, the fraternal organization for which the hospital is named,” says director of patient care services and chief nurse executive Anita Becker, MSN, RN. Famous Shriners in Hawaii have included King Kalakaua and Duke Kahanamoku. The hospital has also hosted U.S. presidents and celebrities like Shaquille O’Neal, the cast of Hawaii Five-O, Glee star Naya Rivera, hip-hop artist Big Sean, Jake Shimabukuro and Raiatea Helm, to name just a few.

“caregivers, cheerleaders, tear-wipers, smile-givers, laugh-inducers and lifelong friends.”

“Whether our nurses care for children one time or over a lifetime, they are forever Shriners kids, and we take that responsibility to heart,” she adds. “The nurses who make pediatric nursing their

work have a passion for our mission of improving the lives of keiki in Hawaii and the Pacific region. They embody that mission daily, in every aspect of care delivery.”

Approximately 65 nurses work at Shriners Honolulu, serving as pediatric nurse practitioners, pediatric spe-

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MAHALO to all of the nurses who work to provide extraordinary care!

Your friends at the University of Hawaii John A. Burns School of Medicine and the faculty practice, University Health Partners of Hawaii, greatly appreciate you and your hard work!

Tomorrow’s Healthcare Today!

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NURSES WEEK 2020 μ 37 SHRINERS HOSPITALS FOR CHILDREN — HONOLULU

(From left) Dr. Yolanda Wu and advanced practice registered nurses Vena Joco and Mike Nishimoto enjoy their work at Shriners Hospitals for Children — Honolulu.

cialty nurses, surgical nurses, peri-operative nurses, and clinic nurses, in specialties like education, telehealth, care management, infection prevention and documentation.

“Many nursing roles are needed to provide the wraparound care that only Shriners delivers,” says Becker.

“They all work together to produce a unique and holistic approach to patient care.”

Shriners Honolulu offers treatment of orthopedic and neuromusculoskeletal disorders and conditions to Hawaii’s children, from infancy through age 18. The hospital accepts insurance, but provides care to every child who needs it, regardless of the family’s ability to pay. Services and specialties include a walk-in injury clinic, surgery, physical therapy, occupational therapy, radiology, orthotics and prosthetics workshops, and

other ancillary services.

The hospital’s 7-acre site at 1310 Punahou St. was deeded in perpetuity to Shriners by the family of prominent Honoluluans John and Wilhemine Dowsett. In 2009, the hospital opened its present-day facility, with 24 beds (16 acute-care and eight outpatient beds), at the location.

Additionally, Shriners Honolulu serves as a yearround teaching facility, providing pediatric orthopedic education and training to residents in the University of Hawaii and Tripler Army Medical Center programs.

“Shriners is at the forefront of research and care delivery throughout the world, and the care delivered is nothing short of life-changing.

We provide treatment for everything from broken bones to complex limb and spine conditions,” says Becker.

With the COVID-19 pan-

demic at the forefront of the world’s consciousness, Becker reports that the nursing team at Shriners Honolulu has implemented careful measures to help ensure the safety of patients and staff.

Virtual rounding with iPads on HIPAA-compliant platforms and applications has been effected, with communication taking place on video calls between patients and their care teams.

Additionally, through Fast Track Video Visits, a telehealth service, patients who have been discharged can connect with care providers via video technology.

“Like everyone else, we are worried about our patients, our families and our health,” says Becker.

“However, we are using this unprecedented occasion as an opportunity to find new and innovative ways to serve our keiki and their families.”

38 μ NURSES WEEK 2020

THE BIG PICTURE

Nurses around the state, though employed at different health care facilities and in different specialties, are all working toward the same goal of keeping Hawaii and its people safe and healthy.

HAWAII - AMERICAN NURSES ASSOCIATION

THE QUEEN’S HEALTH SYSTEMS

NURSES WEEK 2020 μ 39

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40 μ NURSES WEEK 2020

MAHALO, QUEEN’S NURSES You make extraordinary things happen every day. While this year is like no other, you continue to put our patients first and provide our community with the highest quality care.

During Nurses Week and throughout this critical time, thank you for your courage, professionalism, compassion and resilience.

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