Saturday, September 7, 2013
An ER nurse is of a special breed. Our sense of humor is off-beat and off-centric to most, especially to those not in the nursing profession. But even among other nurses, we have acquired an unfair reputation; we are branded as aggressive and rude, and most in-patient nurses regard as too cold and not as caring.
Hey missy, if you have to deal with the never-ending traffic and the constant stressors, you probably would have run far far away like Speedy Gonzalez. Just try to spend an hour in our shoes.
Maybe we are crazy, maybe we are just adrenaline-junkies, but we have learned to appreciate the little things that make life in the ER not just tolerable but have actually induced a chuckle or two. To survive, we found delight in the simple pleasures of ER life.
Tongue-in-cheek humor; anything to brighten the day and to lighten the load.
Happiness… to an ER nurse:
1. Being relieved on time because your relief found parking on time.
2. Having the right team with you, although you were short-staffed.
3. Receiving a thank you from that difficult patient who almost made you forget you’re a nurse.
4. Saving a life because you dared to question a wrong order.
5. Seeing the hallway filled with stretchers; that means the ED is empty.
6. Getting patients with great veins.
7. Finishing the shift without being cursed, hit at or hit on.
8. Getting a typed list of medications at triage instead of two bagful of medications that needed to be sorted out.
9. Changing the child’s pain scale from 10 to 0, and finally getting a reprieve from the demanding parents.
10. Connecting the dots on a puzzling case in the ED and coming up with the presumptive diagnosis before the doctor did.
11. Witnessing the facial droop disappear after the thrombolytic did its magic.
12. Catching a baby before it hits the floor, especially after the mother initially denied she’s pregnant.
Saturday, June 1, 2013
It is a colorful world of patients out there. Maybe it is man’s attempt to provide some levity in an otherwise depressing state of being a patient.
Colorful disease names were used, partly to describe some of the symptoms in yellow fever, scarlet fever, and blackwater fever.
If you make the horrible mistake of running intravenous Vancomycin too fast, you might as well prepare yourself for the rush of red on your patient's face. Experience the "Red Man syndrome". Of course, you would be turning red too as you realize that you just made a major boo-boo.
“Calming fabric colors, patterns and textures create an ambiance much desired in health-care settings, from surgery waiting rooms to newborn intensive care to psych units. Ever since a 1985 study that showed that a specific color, Baker-Miller pink, reduced aggression among prison inmates and patients in mental-health institutions, designers have been seeking a look that soothes and subdues the stressed.”
And that is why, we'll never ever find a hospital room painted in vivid, vibrant colors. Just think of how the color red enrages a bull. Ole!
"Chromhidrosis is an extremely rare condition that causes a person to excrete colored sweat. It can come from either of the two types of sweat glands, but the common thread is that the colored sweat is produced in the gland. Apocrine chromhidrosis results in only yellow, green, blue, black and brown sweat. "
The nurse who sweated red in the above article was not particularly stressed out on the job, but the culprit was discovered to be a packaged food that contained tomato powder and paprika..
I never knew the color "amber" until I got into nursing school. Since then, I've seen a rainbow of urine colors.
Red or pink urine
• Blood- UTIs, enlarged prostate, cancerous and noncancerous tumors, kidney cysts, long-distance running, and kidney or bladder stones
• Foods: Beets, blackberries, and rhubarb
• Medications: Rifampine, Phenazopyridine (Pyridium), and laxatives containing senna
• Toxins- Chronic lead or mercury poisoning
• Medications: anti-inflammatory drug sulfasalazine (Azulfidine), Phenazopyridine (Pyridium), some laxatives, and certain chemo drugs
• Medical conditions: Liver or bile duct diseases, and dehydration
Dark-brown or tea-colored urine
• Foods: Fava beans, rhubarb, or aloe
• Medications: antimalarial drugs, chloroquine and primaquine, metronidazole, nitrofurantoin, laxatives containing cascara or senna, and methocarbamol
• Medical conditions: Liver and kidney disorders
Blue or green urine
• Dyes: Brightly colored food dyes, diagnostic dyes used for kidney and bladder function tests
• Medical conditions: Familial hypercalcemia, a rare inherited disorder, sometimes called blue diaper syndrome and urinary tract infections caused by pseudomonas bacteria.
“Another cause of blue-green urine is Methylene Blue which was till now known mainly as a dye but is now entering into the field of cardiac surgery and critical care as a very important therapeutic agent with diverse applications. The evidence for its use in methemoglobinemia is well established but that for its use in vasoplegia, septic shock, hepatopulmonary syndrome, malaria, ifosfamide neurotoxicity etc is limited but promising and commands more research.”
“The procedure of intra-articular injection of methylene blue is an easy and safe way to identify disruption of the joint capsule and may facilitate early intervention. Intra-articular injection of methylene blue that demonstrates extravasation of dye from the wound site is highly suggestive for open joint injury.”
Who says Nursing is not a colorful profession?
Tuesday, March 5, 2013
It is not just a case of ignorance; it is a prime example of how clueless some people are about the work of nurses. It is also a blatant disregard of how the Filipino nurses had helped save a nation, and gained the respect of other nations with their compassion, intelligence, and competence.
Cynthia Villar, a senatorial candidate in the Philippines, ignited a firestorm of angry retorts from nurses and the general public after her thoughtless remarks to a question by broadcaster Winnie Monsod in the February 23 episode of GMA News TV’s “Pagsubok ng mga Kandidato”.
The show aims to provide the viewers “with insight into how the candidates think and more importantly, how well they think” by presenting tough leadership questions to the senatorial candidates.
The candidates had to think on their feet, without the benefit of speechwriters or paid advertisements. Because they were limited to a one-minute response and would not have the time to embellish and to give a “politically-correct” answer, what you get is similar to the “word-association” game used by psychiatrists. That means, the interviewee gives more or less a gut response. A reflection of their true feelings.
Monsod’s question was: “How can you reconcile your desire to help the poor at pagpanig ninyo sa may-ari ng nursing schools na gusto sanang ipasara ng Technical Nursing Committee at ng CHED?” (How can you reconcile your desire to help the poor and your siding with the owners of nursing schools which had been ordered to close by the Technical Nursing Committee and CHED)
The question was in reference to Villar’s role as then Chairperson of the House Committee on Higher and Technical Education, to intercede between the nursing schools and CHED (Commission on Higher Education) which had ordered the closure of about 20 substandard nursing schools. As a result, none of the schools were closed, a business decision to protect the interests of the school owners.
"Hindi naman kailangan ang nurse ay matapos ng BSN (Bachelor of Science in Nursing) kasi itong mga nurse ay gusto lang nila maging room nurse, o sa Amerika o in other countries, e ano lang sila, young parang mag-aalaga. Hindi naman sila kailangan ganoon kagaling." (Nurses do not need to finish the BSN program, because they just want to be room nurses; in the US or in other countries, caregivers. They do not need to be that efficient.)
Understandably, the nursing profession reacted quickly and explosively. It is very disappointing that an elected official has such disrespect against our nursing profession that she would think we can “get by” with limited education because we are only “room nurses”. The implication was that excellence should not be a nursing standard. Once again, nurses were relegated as 'second class citizens".
Villar’s response to the controversy was a mumbo-jumbo of excuses about time restriction. "The 30-second limit for me to answer the question posed on the news program was too short to give the complete details surrounding the issue. I hope that this statement will clarify the issue. I am sorry if it has created confusion. Thank you."
She is still clearly clueless how nurses are vital to the medical field. Instead of accepting the responsibility about her disrespectful and denigrating attitude towards nurses, she claimed she was misunderstood. She still could not explain her concept of a "room nurse". I wonder how she faced her own daughter, a nurse herself, and told her that she was JUST a "room nurse"
I do not wish her to get a dose of her own medicine, if she lands under the care of one of our own. I believe that when faced with difficult patients, a real nurse will still uphold our oath of service; that we still give the best of care, no matter what.
I must admit, I thought of how the Washington, DC politician Marion Barry disparaged Filipino nurses in one of his speeches and then had reversed his bigoted opinion about Filipino nurses when he found himself under the care of one.
I want to give Mrs. Villar (and other clueless persons like her) a re-education of what a nurse is, and what it takes to become a nurse.
Mrs Villar, I AM A NURSE AND PROUD TO BE ONE. I was a product of a Filipino educational system that had placed value on competence and commitment to excellence. My student years at various military and public hospitals provided me with an invaluable hands-on experience so unlike what American student nurses experience today due to restrictions from a legal-conscious society.
My years of clinical experience here in the United States and my advanced studies had brought me to where I am now, a clinical nurse specialist. This is not a time for false modesty, but rather just pride in my journey, and for all others who had pushed the Filipino nurses to the top of their game.
The Filipino nurses abroad are not mere hand-maidens to the physicians. We had gone a long way from being unrecognized in our field, we are now collaborators in the care of our patients. We had helped train many medical residents, and we had, in fact, intervened so that our patients were not harmed by wrong medical orders.
Among our midst are advanced practice nurses in many specialties: nurse practitioners, nurse anesthetists, managers/ supervisors, clinical nurse specialists, educators, entrepreneurs, nurse attorneys, administrators, and nurse authors (ahem).
Those nurses who choose to remain at the bedside as staff nurses are well-regarded by our peers as competent and compassionate professionals. Conscious of the delicate responsibility of patients' lives on their hands, nurses deliver safe care to the patients, using critical thinking every single day. The frontline nurses are consummate multi-taskers, who have to think on their feet, even as they advocate for their patients.
Filipino nurses abroad had risen as shining examples of this noble profession, even as nursing heroes. In his last State of the Union address, President Obama singled out Menchu Sanchez, a Filipina nurse who initiated the safe transfer of sick babies out of a flooded hospital during the height of the hurricane.
So, what can you do to make up for this transgression? Let me count the ways by which you can truly apologize and not just pay "lip service":
1. Elevate the standards of local nursing schools by making them accountable for higher nursing licensure passing rates. Do not side with nursing school owners who provide substandard training. An educated nurse is a safe nurse.
2. Enact laws to prevent the abuse of the nurses who pay to be “volunteers”. Absurd. And totally wrong.
3. Provide scholarships to deserving nursing students. Not just for BSNs, but also Masters and doctorate programs.
4. Improve the working conditions for nurses in local hospitals by providing responsible representation for nurses’ rights.
5. Investigate unscrupulous nurse recruiters with their exorbitant fees. Streamline the hiring process for overseas work.
6. Sponsor a nurse to provide informed and expert consultation in important health service committees.
7. Sponsor a bill to increase the base pay for nurses, as they deserve.
But before all these, you must really understand how it is to be a nurse. Volunteer to shadow the nurses in different fields as they continue to persevere in their chosen profession despite the odds stacked against them. And maybe, just maybe, you will truly understand.
We are much more than just a “room nurse”, Mrs. Villar. Filipino nurses deserve the respect that you obviously did not feel. Your remarks left a sour taste in our mouths, but we will continue to shine, in the Philippines and overseas.
Thankfully, you do not define our profession. We do. We make a difference in other peoples’ lives..
And this is how Winnie Monsod looked in disbelief at Villar's remarks.
Tuesday, February 19, 2013
It's time to say goodbye to her 'virtual' nursing cap. Dr. Jade Marciano is ready to hang up her stethoscope, finally. After all, she had been working as a nurse for 42 years now. After completing her Doctorate of Nursing Practice degree 10 years ago, she had moved on to the executive leadership position in the hospital.
“Hi, Tita Jade. I will miss your daily stops.” Her niece Charlene gave her a quick buzz on the cheek before she ran over to the ambulance ramp to meet the EMS trauma notification. Charlene is the senior nurse practitioner on duty.
Nurse practitioners had finally been integrated into the fabric of ED care. It had taken years of resistance from the medical community, but after the exorbitant malpractice insurance costs had driven down enrollment in medical schools, the emergency attending physicians had begrudgingly accepted the NPs to practice alongside the EM residents.
Dr. Jade chuckled at the thought of one clueless senatorial what’s-her-name candidate who had tried to belittle the nurses in her native country by implying that the student nurses could get by with limited education. Her concept of “room nurses” had angered the Filipino nurses, and she eventually lost the election in 2013. In her wildest imagination, she probably did not even think that nurses would even rise in stature even more.
The 2010 Institute of Medicine’s landmark report had been quite a revelation in its success. The hospital had achieved an unprecedented 100% BSN-prepared nursing staff, belying the prediction of a nursing shortage by 2020. A remarkable 35% of the ED RNs has Masters’ degree, and had been utilized as Senior Staff Nurses 5th level, with expanded responsibilities as patient care navigators and evidence-based practice advocates. The ED administration had wisely adjusted their staff by providing more Patient Care Techs and other ancillary staff to offset the higher salaries of these advanced practice RNs.
Dr. Jade is a prime example of the IOM’s vision. She was trailblazer in her profession, having collaborated with the physicians to introduce new care initiatives. She agreed that the public’s and medical community’s perception of nurses had greatly been turned around when faced with more educated nurses.
“Trauma Team, Resus 51”, a melodic announcement interrupted Dr. Jade’s thoughts. A patient from a multi-vehicular accident had just been wheeled by EMS, with a mechanical compressor performing CPR on the bloodied patient. There was no time for an intubation in the field.
In the age of microchips, only the most privacy-concerned patient would have an unknown medical history. The triage nurse bar-scanned the patient’s wrist and soon the patient’s recent medical history was displayed on a medical I-Pad Patient Screen under the cardiac monitor. The patient was an open book, a reality (and a necessity) in Big Brother's world.
Mr. C was a 35 year-old man with an AICD from a cocaine-induced cardiomyopathy. The EM-NP quickly deactivated the AICD. A glove EKG remained on the patient’s torso, a far cry from the bulb-suction EKG electrodes of Dr. Jade’s student years.
The ED attending wrapped a DBAC (Deep Bleeder Acoustic Coagulation) cuff on the patient’s upper arm to seal an arterial bleed. The trauma surgeon then activated the ultrasound zap to coagulate the severed vessel. The nurse had started her Trauma Bleed cocktail- Tranexamic acid (antifibrinolytic), Kefpush (an IV push antibiotic) , and Tetanus toxoid.
The EM-NP also had started an intraosseus line and gave a Blood Substitute polyheme on the accident scene; a necessary intervention in a depleted Blood Bank supply. There was no need for cross-matching; no chance for a transfusion reaction.
The ED attending stopped the compressor to check for the pulse. The patient pulse was steady and bounding, Sinus tachycardia was reflected on a sleek touch screen. The patient was still unconscious and was having labored breathing.
“BP 90/62, HR-120, O2 sat 92% on 100% non-rebreather.”, the nurse announced just loud enough to be heard by the Trauma Team, as well as to record the vitals on he lapel mike that was attached to her Dragoneer Head set. The hands-free device allows her to tape her assessments while she assists with patient care. As soon as she would have the time, she would review then accept the recordings on her own hospital-issued mobile phone to be written into the permanent electronic chart. Most of the nurses preferred the mike than typing into their mobile device.
NP Charlene assisted the Trauma resident in intubation and administered the dosage-controlled bar-coded RSI meds via the brachial line, and soon the resident inserted a Glidescope for easy tracheal intubation.
“ETT to vent, Tidal volume 500, F1O2 100%, AC rate 0f 16”. The trauma nurse continued to intone into her mike, as the respiratory therapist connected the endotracheal tube to the new compact-sized three-pound portable ventilator.
The trauma nurse had sent the blood tubes on the Chute to Lab, but gave the smaller sample tube to the Patient Care Tech for bedside testing.
The Patient Care Tech keyed in the results of point-of-care hematocrit, lactate and basic metabolic panel and transmitted the results on the Patient Screen. The ED attending reviewed the trended results, and nodded with satisfaction on the improved hematocrit level.
The Trauma attending brought out his newest gadget to show off, a hand-held body ultrasound scanner to check on a possible aortic dissection or any vaso-aneurysm. There was none, and suppressing a disappointed sigh, he called for the x-ray technician to come into the room.
The technician turned on the switch and the portable multi-purpose x-ray/MRI scanner lowered down from the ceiling. A series of clicks and lights emanated from the machine, creating a surreal glow around the patient.
A lacerated liver was displayed on the Patient Screen. Snapping to attention, a gaggle of trauma residents started to disconnect the patient from the cardiac monitor.
Even with the sophisticated and ultra-modern technology, the doctors still did not know how to calmly prepare the patient for transport, without unhooking the wrong tubes and tangling the IV lines. In their haste, they just wasted precious time. The nurses quickly took over, and finally declared the patient ready to go.
It all happened in twenty minutes, and off to the OR did the patient go. The RFID tracker recorded the patient’s move.
An audible decrease in the decibel and excitement level in the ED coincided with the patient’s transfer. And soon, the ED was back to its usual non-trauma frenetic pace.
Dr. Jade surveyed the newly-renovated ED, and decided that she will again propose more beds to be added. The patient daily census still remained in the 500s because of more hospital closings. The medical scene would remain a challenge.
Back at her corner Penthouse office, Dr. Jade enjoyed a 180-view of Brooklyn and Manhattan. It is a good feeling to have gone through it all. She had emerged triumphant.
From a simple nursing student in the Philippines in the late 70’s, where the students used to help sterilize the glass syringes and needles,, make their own cotton balls, reuse most supplies, and carry the metal patient charts for the doctors with their superior airs.
When she moved to the United States in the early 1980’s, she was thrust into a chronic care hospital. With 40 patients under her care, she was introduced to functional nursing. Most times, she gave out meds with only a 2x2 index card with transcribed hand-written medication orders.
In the 1990’s, she entered the world of emergency nursing and she was hooked. It was a world in transition. The nurses had to prove themselves against some medical doctors who could not believe that nurses should have a voice.
The 2000s was a year for innovations, and medical breakthroughs. Electronic charting decreased medical errors. And nursing was poised to take bigger roles in hospital leadership. In 2012, she started her Simulation journey. Now, all her nurses prepare for real-life nursing with mandatory intensive simulation experience in the state-of-the-art Sim Lab..
Now, in 2025, the transformed nursing workforce had fulfilled its promise to take a much-deserved equal acknowledgement from the public. Somehow, the world had embraced the new and expanded roles of the nurse. An empowered nurse.
Yes, it’s time to retire and hit the beaches with Max, her doctor-husband, 12 years her junior.
Wednesday, February 13, 2013
When disaster strikes, heroes emerge.
Heroes come from many places. The police, firemen, and emergency responders deserve all the praises that are heaped on them by virtue of them putting their lives on the line every day. Soldiers here and abroad should earn our utmost respect for their incredible sacrifice to protect our country.
Hurricane Sandy brought forth to national consciousness the noble women and men in nursing. Because of generator failure, New York University Langone Hospital was forced to evacuate some 200 patients to nearby hospitals. What makes this truly incredible was the fact that the transfer was made during the height of the hurricane, at a time of dangerous winds and unrelenting rains.
On February 12, 2013, in his State of the Union address, US President Barrack Obama honored one nurse who exemplified the nobility of our nursing profession.
MENCHU DELUNA SANCHEZ, a Filipino registered nurse in NYU-Langone, thought of the plan and organized a group of medical professionals to carry 20 critical babies down nine flights of stairs, with illuminations from cellphones to guide them along the way.
The medical team composed of nurses, doctors, medical residents, ancillary staff, and hospital administrators joined in perfect harmony to carry those precious babies to safety, and to other hospitals which welcomed these patients. Countless acts of courage and dedication to duty. To protect the most vulnerable of patients.
“We should follow the example of a New York City nurse named Menchu Sanchez. When Hurricane Sandy plunged her hospital into darkness, she wasn’t thinking about how her own home was faring,” Obama said in his address before a joint session of Congress. “Her mind was on the 20 precious newborns in her care and the rescue plan she devised that kept them all safe.”
A picture of a nurse who hugged a premature baby to her chest as she gingerly led the way down flash-light lit stairway with her team of doctors and ancillary staff gave me chills. I thought of the premature baby whose very survival depended on the commitment of each member of the team. I thought of the baby’s parents as they worried about their child. For all the parents, the hospital staff members were the angels sent to protect their own little angels.
While Sanchez was saving lives in the hospital, her own home in New Jersey was flooded rendering the first story of her house still uninhabitable to this day.
But on that Tuesday evening, as Menchu Sanchez joined the First Lady Michelle Obama and the Vice-President’s wife Jill Biden in that honored spot, it must have been a surreal experience to be celebrated for a job well-done in a setting that only a few had achieved.
It was a fitting tribute to nurses everywhere, and to all Filipino nurses who had identified with her work ethic and professional integrity. For Menchu, it was probably a culmination of years of hard work and dedication to her nursing profession.
Mabuhay, Menchu! I celebrate your achievements. You make us all proud. You’ve come a long way from your native Philippines.
Here are other profiles in courage, just snapshots of nursing heroes:
In Afghanistan, JAMES GENNARI, BSN, RN, TNS, As department head for a mobile ED and shock trauma platoon, with an explosive ordinance removal specialist removed a 14" rocket propelled grenade that was embedded up to the patient's buttock in three tugs.
JERRY AVANT, JR. died while protecting others. Doctors said the 39-year-old male nurse was shot more than two dozen times Sunday while trying to shield others from a gunman at a Carthage, N.C. nursing home.
Nurses do great things every day. As part of their daily lives, they care for their patients even though they are under-paid and under-staffed. Their efforts are unsung, and mostly under-appreciated.
But in extreme circumstances, a few nurses shine more than others. They do things above and beyond. These are the nurses who selflessly rise above their own expectations and who provide the care that can only be called heroic. It is so heartwarming that the nurses are finally getting their spotlight.
“Our planet is filled with heroes, young and old, rich and poor, man, woman of different colors, shapes and sizes. We are one great tapestry. Each person has a hidden hero within, you just have to look inside you and search it in your heart, and be the hero to the next one in need.” By Efren Penaflorida, 2009 CNN Hero
Friday, December 14, 2012
Twenty innocent children, along with six adults, killed by gunfire in Newtown, Connecticut.
It is a senseless tragedy that defies any explanation or understanding. And because this time, the kids fell victim to one man’s insanity, the nation shares in the heartbreak.
The massacre is incomprehensible. And it hits close to home. Once again, we grieve.
The kids were supposed to be in a safe haven, while they learn their ABC’s or Math, while their minds were being molded by their teachers on the wonders of new knowledge. Instead, they learned firsthand about violence. About one pysychopath’s reckless disregard of that we hold sacred… the precious lives taken much too soon.
The kids who survived would need all the help they can get to banish the ugly visions of the carnage. It was a nightmare that unfolded before their very eyes.
Imagine the horror of the parents who heard the news as they rushed to the school, praying that their kids were spared, that they would hug their kids again. Earlier that morning, they had kissed their children goodbye, after the usual breakfast rush.
Imagine the devastation for those who learned that they would not see their kids grow up. Our hearts bleed for them.
We have all shed tears upon hearing of this incident today. Those who were left behind will cry themselves to sleep tonight, and for many nights thereafter. The healing will be a difficult and lonely road.
We search for answers. We advocate for better gun control. We hope that no man, or woman, will ever feel the need to kill again.
Senseless. Tragic. Heart-breaking.
Sunday, November 4, 2012
So this is how it feels.
When you've just published your first book, and just had your first write-up in the magazine about your book. When your hospital just posted humongous posters about the book-signing and you have to stand the scrutiny of people who look at your book picture and your current self. When these same people exclaim, "So, you're the author."
This is all new to me.
In my last book-signing, I got to meet strangers who were drawn by the idea of one of their own coming up with a book that mirror their experiences. I was an unknown entity with an exciting new product... a book about nurses. And if I may say so, my cover picture was the best image that I ever had (or will ever have). So to break the ice, I said, "Yes, that picture of me is from twenty years ago."
It is disconcerting to finally have all eyes directed at me. I am a little reluctant to accept the sudden attention, with the imaginary spotlight upon me. Have I given too much information? Have I bared my soul to the prying eyes of a hungry audience? Would they look at me and find me lacking of the magic that authors are supposed to have?
Suddenly I'm conscious of the need to stand straighter and I berated myself for not sticking with my diet and exercise plan. I have to act like I’m super-confident and that I’m not freaking out that some critic may just tear to pieces the book that I have poured my heart into.
A part of me just wants to lie low and just stay under the radar. If only books can sell themselves. If only I have the backing of a well-oiled machine who will do the promotion rounds for me.
Okay, the book will not sell enough to allow me to quit my day job. Unless I come up with incredible stories about a boy wizard in Hogwarts. Or maybe write about the thirty shades of silver. But it doesn't matter. I am just incredibly happy at the realization of my dream.
Then I shake my head, take a deep, calming breath, and psych myself up. I have dreamt of writing a book since childhood. Now that I am living La Vida Loca, I should savor the moment. So I laugh at myself for indulging in this melodrama.
And however how long it lasts, I should just enjoy the good times. This is probably my 15 minutes of fame and I can still stretch it just a little bit longer. The hype is nothing compared to what Hollywood stars go through. No paparazzi chasing me. Thank God for that.
These are exciting times. Book-signings. News articles. And a google search on "Nursing Vignettes" yielding many results. I just have to come out of my shell and enjoy and bask in the glory of these new experiences. I did ask for this. I have dared to write a book, so I better enjoy the ride.
And most of all, I thank God for making all of these possible. With all humility, I appreciate His gift and accept His blessings.
EXCERPT FROM THE ASIAN JOURNAL ARTICLE- ‘Nursing Vignettes’: Chronicles of a Compassionate Profession
In her book Nursing Vignettes, Jocelyn C. Sese, MS, RN, CEN, talks about the heart and emotion that she deals with on a daily basis. At core of the intense experience of being a health care professional is a very relatable story of care, compassion, and a genuine concern for her patients.
A dream realized
Nursing Vignettes is a collection of the fascinating vignettes or snapshots of Jocelyn’s life as a nurse of 22 years in New York. It is a coming-of-age book that chronicles Jocelyn’s journey as a Filipino nurse in America.
She confessed that it is also the realization of her childhood dream to be published as an author. She was able to utilize her experience to drive home the point that nurses do make a difference in their patients’ lives.
“These short vignettes celebrate the tremendous impact of nurses on the patients they take care of,” she explains.
“Having been an educator for a long time, I wanted to change the perception of the general public about nurses – that we are not mere handmaidens to the physicians, and that we are autonomous and able to use critical thinking and skills to save patients’ lives.”
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