I have always wanted to write about the fascinating vignettes of Emergency Department life. This blog is my creative attempt to highlight the ups and downs of life in my busy ED. It is not just a room anymore, it's a department. It is the gateway to the scary world of hospitals. Despite the grim faces of nurses as they struggle with the increased volume of patients, we find time to celebrate humor and simple joys; this is how we survive.
Showing posts with label filipino nurse. Show all posts
Showing posts with label filipino nurse. Show all posts
Tuesday, March 5, 2013
Not Just a "Room Nurse"
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.
Wednesday, February 13, 2013
Nursing Heroes
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.”
http://globalnation.inquirer.net/64251/filipino-nurse-hailed-as-role-model-in-obamas-state-of-the-union-address
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.
http://nursing.advanceweb.com/Features/Articles/Nurse-Hero-in-Afghanistan.aspx
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.
http://www.cbsnews.com/2100-500202_162-4902345.html
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
Saturday, October 20, 2012
Nursing Vignettes- (book excerpts)
Thank you to all who bought my book "Nursing Vignettes". It has been an incredible ride for me. I am humbled and delighted with the support from my hospital which sponsored a book signing for me. It felt surreal to have humongous posters of my book displayed in the hospital lobby, although I was quick to point out that the picture is about twenty years old.
"Nursing Vignettes: A Filipino Nurse in America" is a coming-of-age book that chronicles my journey as a Filipino nurse in America. It is a realization of my childhood dream to be published as an author. Thankfully, I was able to use my nursing experiences here in New York to drive home the point that nurses make a difference in their patients' lives.
These short vignettes celebrate the tremendous impact of nurses on the patients they take care of. 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.
"The bright lights of New York City beckoned. Across 8509 miles and 20 hours of turbulent plane ride. As a 22-year-old, the world was my oyster. It was the promise of a fantastic adventure that had sustained me through five years of nursing school. I was more than ready for my many firsts."
"I heard singing from the dying patient's room. The male voice tried to hum a familiar melody, but the words were garbled as if the singer could not get the words out."
"All the patients around us looked bewildered at the sight of nurses with tears in our eyes as we grinned and high-fived Pedro. I said a silent prayer of thanks."
“'Woof!'. I am hallucinating. That couldn’t be a dog who just went through the revolving door of the ER and is now just outside my triage booth. No way!"
For every Filipino nurse who survived and thrived in this faraway land, countless memories should be shared with others who would probably derive inspiration as they begin their own adventure. The untold stories would probably be familiar to several readers. I would like to imagine that nursing students can learn valuable lessons from the clinical vignettes that I have highlighted in the book.
I hope this book serves as an inspiration to all, Filipinos or not, nurses or not, that with hard work and determination, they can also realize their dreams here in distant lands.
Photos courtesy of M. Fister-Centorcelli- https://www.facebook.com/PhotographyByMargaretCentorcelli?ref=stream
I have used Margaret's photographs for this blog only. Wouldn't it be wonderful if our future projects would include her beautiful pictures?
"Nursing Vignettes: A Filipino Nurse in America"- available at Amazon.com
Friday, August 3, 2012
FIRST BOOK
I am so happy to announce that my FIRST BOOK is now available for purchase. Please share among your friends. This is not just for nursing or for Filipinos. This is for all of you with dreams in their hearts. This is my lifelong dream, finally realized.
http://www.amazon.com/Nursing-Vignettes-Jocelyn-Cerrudo-Sese/dp/1477614362/ref=sr_1_66?ie=UTF8&qid=1343996451&sr=8-66&keywords=tatay+jobo+elizes
Excerpt from my Introduction:
In 1980, as I lit the candle at my pinning ceremony, my heart was brimming with excitement for the future. In my imagination lived a nurse whose hands touched lives and whose compassion made a difference.
Nursing in America is a delightful journey into independence and self-fulfillment. As a young nurse living thousands of miles away from family, life was filled with challenges to both my personal and professional lives. Like countless other Filipino nurses working abroad, I have carved my own little niche in my chosen profession.
More than ever, I realize how fortunate I am to belong to a service profession that is most definitely and infinitesimally life-affirming and emotionally rewarding.
My life is enriched with the fascinating vignettes that gave meaning to the long hours and hard work.
I have lived my mother's dreams, which had become mine as well.
Here is my other dream, a book that chronicles some of those stories that make me proud to be a nurse. This is my journey as a Filipino nurse in America. But my stories of life as an ER nurse reflect what any other nurse had gone through.
We only need to believe in ourselves.
Dream some more.
Have faith.
Update: 8/11/2012
Yes, we've been #1 for several days now on the Amazon Hot New Releases chart.
http://www.amazon.com/Nursing-Vignettes-Jocelyn-Cerrudo-Sese/dp/1477614362/ref=sr_1_66?ie=UTF8&qid=1343996451&sr=8-66&keywords=tatay+jobo+elizes
Excerpt from my Introduction:
In 1980, as I lit the candle at my pinning ceremony, my heart was brimming with excitement for the future. In my imagination lived a nurse whose hands touched lives and whose compassion made a difference.
Nursing in America is a delightful journey into independence and self-fulfillment. As a young nurse living thousands of miles away from family, life was filled with challenges to both my personal and professional lives. Like countless other Filipino nurses working abroad, I have carved my own little niche in my chosen profession.
More than ever, I realize how fortunate I am to belong to a service profession that is most definitely and infinitesimally life-affirming and emotionally rewarding.
My life is enriched with the fascinating vignettes that gave meaning to the long hours and hard work.
I have lived my mother's dreams, which had become mine as well.
Here is my other dream, a book that chronicles some of those stories that make me proud to be a nurse. This is my journey as a Filipino nurse in America. But my stories of life as an ER nurse reflect what any other nurse had gone through.
We only need to believe in ourselves.
Dream some more.
Have faith.
Update: 8/11/2012
Yes, we've been #1 for several days now on the Amazon Hot New Releases chart.
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