DiversityNursing Blog

Natalie Romero via www.huffingtonpost.com 

Grab the tissues because this article is a beautiful thank you note from the mother of an infant in the NICU. She refers to the Nurses in the NICU who took care of her baby as “background heroes”. Always there offering comfort to both her and her baby; translating the doctor’s language in to words she could understand; singing and reading to her baby; staying with him in the OR; and all the other important things the Nurses did to help her through it. She’s not sure if she ever properly thanked you so she wrote this letter. It’s beautiful and so are you for all you do for your patients and their families.

During our NICU stay, our son was seen by dozens of doctors -- surgeons, neonatologists, anesthesiologists, cardiologists, orthopedics and radiologists. He was treated by occupational therapists and physical therapists.

If you were to walk in the room during rounds on a typical day, you would have found five or six doctors huddled around his tiny body reviewing his charts. They discussed his numbers throughout the night, their opinions on his treatment, and how he was responding. The doctors didn't always turn to us to include us in the conversation. And to be honest, we didn't always understand their language.

If you were to look very closely at the scene, you may have noticed someone hovering in the background almost going unnoticed. If you looked hard enough, you would have noticed my son's NICU nurse who rarely left his side during rounds. His nurse stayed close by and tended to my son while the doctors tended to his illness. His nurse always helped us figure out the doctor language once they were gone.

Those nurses were our background heroes. They didn't get the same credit as the doctors and they never searched for praise, but they were such an important and necessary part of our NICU journey.

NICU nurse, I don't know if you know the impact you had on our family.

I don't think I thanked you.

I hope it's not too late.

Thank you for quietly closing the curtain to give me privacy when I couldn't stop the tears.

Thank you for rocking my baby when I couldn't be with him at night.

Thank you for knitting him hats and booties.

Thank you for reading to him.

Thank you for singing him lullabies.

Thank you for staying with him in the operating room.

Thank you for being gentle with him when he was battered and bruised after hours and hours of surgery.

Thank you for being his advocate and questioning everything, even the doctors, when you felt like he was being given unnecessary treatments.

Thank you for keeping the small bit of hair that was shaved off of his head when the only available vein was on his skull. "It was his first hair cut," you said when you handed it to us the following morning.

Thank you for teaching me how to bathe him without making all the alarms ring.

Thank you for teaching me how to read the machines he was attached to.

Thank you for helping me hold him without pulling out all his tubes.

Thank you for silently standing beside me while I cried tears of helplessness.

Thank you for helping me see the good I was doing by heading off to pump every three hours.

Thank you for making feel like a normal mother in the moments when I felt anything but normal.

Thank you for celebrating each ounce of milk consumed, each breath taken without the breathing tube, each time the number on the scale went up.

Thank you for celebrating when he was discharged.

Thank you for helping me get through one of the toughest experiences of my life. You were a part of the reason I survived it.

I don't know the half of what you have seen. I know that even though you always seemed to be smiling, behind closed doors you cried your own tears. I know that in the moments of chaos when alarms were sounding and codes were being called and my world seemed to be crashing down around me, you stayed calm and focused and you made sure that my world stayed upright.

I hope you know that I felt your hand of my shoulder. I hope you know that I was grateful to see your face every morning. I hope you know just how important you were to us.

I hope it's not too late to say thank you.

By Denston Carey Jr. via www.wcuquad.com 

While many of us are well aware of the disparities in healthcare, this article written by a medical student, makes some good points about the need for more diversity at all levels in the medical field. What would you add to his thoughts?

Increasing the presence of minority groups within the medical field is a pressing issue in healthcare today. When one walks into the average doctor’s office or hospital, one cannot help but realize that there is not enough diversity within the medical field. The sparingly present racial and ethnic groups in medicine are more formally referred to as the Underrepresented Minorities.

African-Americans comprise about 13 percent of the American population but, they make up only four percent of American physicians. – AAMC

Groups that are underrepresented in medicine are present, as physicians or other medical professionals, in small numbers relative to their presence in the population as a whole. For example, though African-Americans comprise about 13 percent of the American population, they make up only four percent of American physicians (AAMC). Furthermore, the 14 percent presence of Hispanics in the American population is hardly reflected by the mere six percent of Hispanics coming out of U.S. medical schools in recent years. It goes without saying that there are some negative side effects that stem from this lack of diversity within American healthcare. 

The medical professionals of the U.S. simply do not reflect the mosaic of racial and ethnic groups that comprise our population, and this indeed has social and cultural implications. Patients not only come with symptoms and disorders, but they also come with different social and cultural backgrounds. 

Being a medical professional is about more than just understanding how the human body works—medical professionals need to be able to relate to their patients on a personal level as well. When caring for such a diverse population, our medical professionals must be both culturally competent and reflective of the patient population. Understanding and relating to patients is an important part of medicine, and it can make a huge difference in the patients’ experience if their healthcare providers are able to do this. 

Beyond the social and cultural reasons that call for a diversified healthcare force lie the needs of underserved communities. Underserved communities are those which face economic, cultural, or linguistic barriers to healthcare (DOH). There have been studies that show underrepresented physicians (African-Americans, Latinos, American Indians, and Pacific Islanders) are far more likely to practice in underserved communities than their white counterparts. Because theseunderserved communities may benefit from a more accessible healthcare system, when underrepresented groups serve them, the healthcare disparities that afflict these communities are likely to be mitigated by an increase in the amount of underrepresented physicians.

With this now in mind, it is apparent that increasing the prevalence of underrepresented minorities within the medical field can also decrease healthcare disparities. 

So, how can WCU help? The first thing we can do, as a university, is diversify our own pre-health programs. We can then work to support and embrace this diversified community of pre-health students. Lastly, we can reach out to the younger people of the West Chester community, encouraging them to pursue careers within the healthcare field as well. Through these three objectives, WCU can contribute to the national effort of diversifying the American healthcare force. 

Minorities in Medicine wishes you all the best this semester, and we look forward to seeing many of you pre-health students get involved with this organization. 

By Erin Powell via www.thedenverchannel.com 

No matter how you feel about the Miss America Pageant, if you missed Colorado’s Kelly Johnson and her view about being a Nurse, you can see it here. Please let us know what you think about what she had to say.

Sunday's Miss America pageant will surely feature plenty of glitz, glam and glitter.

Miss Colorado didn't look like that in this week's preliminaries. During the talent competition, Kelly Johnson walked onto the stage with her hair in a ponytail, clothed in baggy scrubs with a stethoscope draped around her neck. Johnson didn't show off a talent, but she passionately explained hers: nursing.

After a deep breath, she said, "Every nurse has a patient that reminds them why they became a nurse in the first place. Mine was Joe."

Joe suffered from Alzheimer's disease and at night, screamed out because of night terrors. Miss Colorado would comfort him and stop him from screaming, but explains she couldn't change his treatments or medications because she was "just a nurse."

Instead, they'd talk about his grandchildren and laugh together. Until one day he was crying. She stopped and said to Joe, "You're not just Alzheimer's."

"Same goes for you. You're not 'just a nurse,'" he responded. "You have changed my life because you have cared about me."

Johnson graduated as the valedictorian from Grand View University in Des Moines.

"I am so grateful for the opportunity to share how passionate I am about this profession. Thank you to the Miss America Organization," Johnson wrote on Facebook.

This is why I did what I did. All in one message. This means so much to so many people. I love you, America. Thank you for reaching out to me. This is all for you! #NurseKelley

By Sara Seng via www.bartonassociates.com 

The telemedicine market isn't only effecting physicians and other healthcare professionals. Telemedicine has potentially great benefits for patients too. For example, regular office visit expenses will reduce and patients who have a difficult time traveling to appointments, don't have to worry about it anymore.

As the telemedicine market is expected to reach $34 billion by 2020, its impact in the healthcare industry is endless. Telemedicine refers to the use of telecommunication and information technologies in order to provide clinical health care at a distance. From reduced transportation expenses to increased cost efficiency, healthcare organizations are constantly searching for more ways to provide quality care and communication between providers and their patients.

However, do people ultimately trust telemedicine?

TechnologyAdvice recently conducted a nationwide survey of 504 U.S. adults to investigate the way people feel about telemedicine and its services. The infographic below highlights their findings.

Ginger Ail Blog post

Not every patient gets their medication in a pill bottle. In other parts of the world these patients are handed their pills and must use whatever they have to keep the medication safe. In three easy steps you can make a difference for those patients.

Pill bottles: they are those translucent orange soldiers that pile up all around us… in our drawers, bags, cabinets… sometimes I wonder – if I had saved every empty pill bottle since I got sick, what would that look like?

One of the things I have always hated the most about being sick, is you often need more help than you can give. That’s not always true, but there are definitely days or weeks like that for even the most functioning among us. I see those specials on tv and think: I want to build a Habitat for Humanity house or dig wells in Africa (this might be a late night, insomnia induced thought but the general sentiment still stands).

Neither of those will be happening in my lifetime, but that’s okay. There really are other things we can do, all of us, to help other people no matter how sick we are. Here’s one idea that only requires a bit of energy…

“Medicine Bottles for Malawi” is a project with an idea so simple, it’s brilliant. I’ve tried this myself so I can vouch for how easy it is to do and how good it feels to pass on something you know will help others.

Imagine you’ve walked miles to a remote village or hospital to receive any form of medical care you can find. You are given the medication you desperately needed and now you have to start the journey back home. You don’t shake the pill bottle maraca as you walk because there is no pill bottle, heck there’s barely medicine. The pills you received are wrapped in a tiny scrap of newspaper.

A scrap of newspaper is all the protection your precious cargo has. The more I thought about this, the more I realized it’s a bigger problem than it sounds like: no safe way to carry the meds home when you are most likely walking miles, no way to really protect the meds from moisture, loss, damage once you get them home. Apparently those orange bottles do more than you think and so can you…

How to Help:

Step 1: Take your meds and when you finish the bottle, don’t throw it away! This includes bottles you might receive over the counter like for Advil, Motrin, vitamin bottles, supplements – as long as the bottles aren’t large, send them on! (Large bottles just cost too much to ship).

Step 2: Remove the label. I find it’s easiest just to peel them off, takes a few seconds, but you can also save up until you have a pile of the bottles and dump them into a bowl of boiling hot water.

Step 3: Snail Mail Send them off! I used a large flat manila envelope, it’s cheap & easy to mail.

Address it to: The Malawi Project, Inc.
3314 Van Tassel Drive
Indianapolis, IN 46240

Tip: Take a photo of that ^ address on your phone & save it as a contact! When you have enough bottles to send off, you won’t have to log back in here to find the address. I do this often and it definitely saves some energy to take photos of info.

Bonus Benefit: I saw someone online arguing that we shouldn’t send them to Malawi because they won’t be recycled when they are finished being used. I thought this question was silly since they are so desperately needed there but I like the answer all the same: Nothing goes to waste in Malawi. Your medicine bottle, when it’s empty, will be used in 100 other ways. Imagine you have very little and then think of all the ways a bottle with a sealed lid could be helpful.

Contributors: Maria R. Shirey, PhD, MBA, RN, NEA-BC, ANEF, FACHE, FAAN via www.americannursetoday.com

For leadership to be authentic, programs should focus on both external programming and individual improvement. The most important factor of individual improvement is self-awareness. Authentic leadership on an individual level can be measured by an Authentic Leadership Questionnaire (ALQ).

In 2013 alone, U.S. organizations spent more than $15 billion on leadership development activities. Although much of these expenses focus on external programming, including face-to-face workshops, webinars, and e-learning, fewer resources target the internal development of leaders. To maximize sustainable leadership development, emphasis must be given to both external programming and individual improvement.

Experts in the field argue that organizations can more effectively redeploy billions of training resources by focusing on helping leaders mine their regularly scheduled lives for deep insights, feedback, strategies, and solutions. By investing in self-awareness and reflective practices, individuals have a better chance to grow as emotionally capable leaders. This article discusses self-awareness as a means to boost authentic leadership, an emotionally capable positive leadership style, and provides suggestions for enhancing self-awareness.

Self-awareness in authentic leadership

Authentic leadership is a pattern of leader behavior that draws upon and promotes both positive psychological capacities and a positive ethical climate. Elements of this definition are incorporated in the Authentic Leadership Questionnaire (ALQ) developed in 2007 and considered the definitive valid and reliable instrument to measure individual-level authentic leadership.

The ALQ uses four scales to evaluate key components of AL: self-awareness, relational transparency, balanced processing, and internalized moral perspective. (See Components of the ALQ, based on Walumbwa and colleagues.)

Self-awareness, the focus of this article, refers to an individual’s capacity to show an understanding of personal strengths, weaknesses, and impact on others. In addition to being a core element of authentic leadership, self-awareness is a key component of emotional intelligence that contributes to self-regulation and leader effectiveness.

Enhancing self-awareness

Authentic leadership can be developed. To become an authentic leader, however, requires that individuals pursue a journey of self-discovery, self-improvement, reflection, and renewal. The following recommendations offer direction for building self-awareness in your authentic leadership development journey.

Explore personal strengths and fatal flaws.
Understanding personal strengths helps to maximize potential. Although it’s your strengths that likely got you noticed as a leader, it may not be your strengths that will keep you on track. For this reason, it’s important to also recognize your major weaknesses or fatal flaws so you can minimize these and prevent them from derailing your leadership.

Completing the Strengths Finder instrument and reading about Goldsmith’s identified fatal flaws can help emphasize personal strengths without ignoring major weaknesses. Goldsmith defines fatal flaws as bad behaviors and cites examples of career derailing behaviors such as making destructive comments, withholding information, and claiming undeserved credit.

Understand your limitations and seek others to complement you and the team.
Self-awareness includes understanding personal limitations and acknowledging what still needs to be learned. Self-awareness also involves recognizing the strengths and fatal flaws in others to build a high performing team where all members complement each other and maximize the whole.

Examine emotional intelligence.
Emotional intelligence (EI) refers to people’s ability to recognize and understand their emotions and those of others. With EI, individuals can use their emotional awareness to manage personal behavior and relationships. EI has four distinctive components that need development: self-awareness, self-management, social awareness, and relationship management.

To better understand where you rate on the various EI scales, complete the simple and inexpensive Emotional Intelligence 2.0 instrument. Taking into account results of the assessment as well as suggestions for improvement can guide a personal AL development plan to develop EI.

Observe yourself and engage an observational partner.
Taking the time to record your major decisions along with the rationale for those decisions provides for personal analysis. In looking at the outcomes of decisions, you can establish a personal feedback loop that reveals what went well, what could be done better, and what patterns of behavior may be fruitful or counterproductive.

Including a trusted colleague or coach as an observational partner can offer just-in-time advice or retrospective validation with constructive direction. When leaders ask for input, it’s most beneficial for them to listen to feedback without justifying their actions or retaliating against the invited messenger.

Create down time for daily reflection.
Taking planned down time in the course of a busy schedule helps clear the mind and provide balanced perspective. This activity can involve taking a daily walk, engaging in mindfulness meditation, or reading daily scripture. Reflective down time is needed to enhance self-awareness and to cultivate authenticity.

Dig deep to gain insight.
It’s important for current and aspiring leaders to be able to ask and answer important questions such as: Who am I? What are my values? What is my purpose? What drives me? Are my actions consistent with what I value? How do others see me and is this consistent with how I wish to be seen?

Digging deep to honestly explore these questions requires time, dedication, and possibly validation from others. This type of deep reflection represents the inner work of leadership development that someone else cannot do for you.

Keep a reflective journal.
Keeping a journal helps to record personal thoughts that can lead to a higher degree of self-awareness and enhance both writing and emotional fluency. In recording daily reflections, this can help to recognize desirable as well as undesirable patterns of emotions and behavior that could either be repeated or modified for self-improvement.

A reflective journal also helps you begin to compose your individual life story, which can shed light on where you have come from, how you have learned from experiences, and provide direction for the future you wish to pursue.

Incorporate time for personal renewal and celebrate milestones.
Taking time to celebrate milestones is important for closure as well as for personal renewal. Pausing at regular intervals can be both inspiring and energizing for yourself and the team you lead.

Authentic leadership journey

Authentic leadership begins with self-awareness. Growing in self-awareness, however, entails individual responsibility, hard work, and devotion to reflective practices. You can use the suggestions in this article to build self-awareness that in turn enhances a personal authentic leadership development journey.

Sheila Key via www.goodnewsnetwork.org 

The Ice Bucket Challenge – you’ve all heard about it. Maybe even participated in it. Something that started last summer in Boston became a viral sensation across the country to raise awareness and money for ALS research. We’re happy to share this wonderful story with you. The money raised went to funding research that appears to slow down the disease and hopefully lead to a cure. This is great news!

It worked!

The Ice Bucket Challenge that flooded the Internet with videos of people getting drenched has led to a medical breakthrough.

Researchers have long known that a particular motor-neuron protein—named TDP-43—doesn’t function properly in 90 percent of ALS patients.

Now a grad student at Johns Hopkins Medical, in Baltimore, Maryland, is pretty sure he has figured out why. In experiments with mice, his team made a protein to mimic TDP-43, and after adding to the neurons, the cells came back to life.

“With any luck this could lead to the possibility of a cure or at least a slowing down of this terrible disease,” says pathobiology student Jonathan Ling. “We may soon be able to fix this in patients who have lots of accumulated TDP-43,” says Ling.

He published his discovery in the journal Science last week and credited funding from the ALS Association for making his team’s research possible–money raised through the viral Ice Bucket Challenge last year.

During the social-media sensation’s peak months of August and September, more than 17 million people—including many celebrities—uploaded wet, chilly videos of themselves and drove charitable giving to over $115 million, more than tripling what the organization had earned the year before.

Fixing the dysfunctional protein will take time, Ling and his professor, Philip C. Wong, Ph.D., said in a YouTube video announcing the breakthrough. Time and, undoubtedly, more research money.

Which is why the two are attempting to start the challenge anew.

“We want to… really push this work forward,” Wong says, as big orange buckets sneak into view on either side of the two men.

In the video, Ling and Wong each challenge three people to give more….your move, Bill Gates.

Although with the drought in California, they will probably need to drop glitter on themselves rather than buckets of water.

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By Tom Clegg via Nurse.com 

Whistleblowers fear retaliation and the chance that nothing will be done with the information they've provided. An organization's culture should make it's employees feel safe when reporting something. But, there are still times when Nurses refrain from whistleblowing because their work culture has encouraged them not to do so. This delicate area of policy and ethics is a work in progress. As a healthcare worker, what steps do you think would help the process of reporting questionable practices?

A 2015 revision to the ANA Code of Ethics strengthened the wording of its policy that “nurses have a responsibility to assist whistleblowers who identify potentially questionable practices.” Further, New Jersey’s Conscientious Employee Protection Act protects those who report such practices from retribution.

That’s all well and good, but as nurse leaders stressed at the Organization of Nurse Executives New Jersey Research Day Conference in June in Princeton, the best way to ensure nurses and other healthcare workers feel confident they can blow the whistle is by creating the proper work environment.

That was the conclusion of a research committee study at ONE NJ to replicate work done by University of Nevada researcher Lisa Black in 2011, which identified workplace factors that influence nurses’ willingness to report.

“If you have a culture in your organization where people felt safe to report things, they would report it and have less fear of retaliation,” said Patricia Steingall, MS, RN, NE-BC, vice president of patient care services and CNO of Hunterdon Medical Center in Flemington, N.J., and president of ONE NJ.

Steingall said the biggest fears of those considering blowing the whistle are retaliation and that nothing will be done with the information provided. Nurse leaders can alleviate some of those concerns by establishing a culture of openness and by educating “staff on what are the policies about whistleblowing, assure them that there are protections in place for them and let them know what those protections are,” Steingall said.

She also stressed the importance of being sure of the facts, a point echoed by Lucille Joel, EdD, RN, APN, FAAN, Distinguished Professor, Rutgers University School of Nursing, Newark. Joel, who presented “Speaking Up: A Dimension of Professional Practice in an Ethical Context” at the conference, added blowing the whistle never is easy and always has some ambiguity.

“In regards to whistleblowing, it’s an ethical decision that runs contrary to an employer,” Joel said. “You have to be sure of the data. You have to be relatively sure, although you can’t be absolutely positive, that whistleblowing or calling governmental attention to a situation is going to be better for the client than allowing the incident to continue uncontested.”

Attorney and nurse Kathleen Gialanella, RN, JD, LLM, Esq., spoke at the conference on the legal and ethical considerations of blowing the whistle. She encourages anyone considering reporting a potentially unsafe practice to seek guidance, which may include legal counsel. She also said that although certain situations allow whistleblowers to report an incident directly to an outside body, “normally the process needs to unfold within the organization, and the organization needs to be given an opportunity to correct whatever concern the employee has.”

Gialanella said progress has been made by healthcare organizations in making staff feel more comfortable reporting incidents, but not everyone is on board.

“Some organizations are ahead of others in adopting that kind of culture,” she said. “There are many situations where nurses still are not comfortable bringing a concern to the attention of their supervisor, and it’s because of a culture (in which) they’re not really encouraged to do so.”

Tom Clegg is a freelance writer.

By Debra Wood, RN, contributor via www.americanmobile.com 

It appears there will be a positive future relationship between Nurses and health apps that will benefit the healthcare team and patients. These health apps will cause a shift from reactive to proactive care while providing benefits for healthy and chronically ill patients.

Living services, technology that learns and evolves to meet the needs of the consumer, is fast approaching as consumer expectations converge with increasingly sophisticated sensor and communication devices. Nurses may soon see a time when smartphones warn of impending depression or a stomach-activated patient monitoring sensor lets them and the physician know how the patient is taking a prescribed medication.

“It is something that is changing the way medicine is being practiced,” said David Collins, senior director of HIMSS mHealth Community. Collins said that while much of the technology for connected health care is available today, issues remain in regard to reimbursement, and patient acceptance and engagement. However, with accountable care organizations and other shared-risk programs, reimbursement is based on outcomes, not fee-for-service. 

“[This technology] is a tool to allow accountable care organizations to keep cost at a certain level and have an advantage in the marketplace,” Collins added. “Things are moving toward population health management. It’s more of a team-based approach.” 

The shift from reactive to proactive care

Those teams may form around patients at high-risk for costly hospital care. Nurses may coordinate care and monitor incoming information from sensors, scales or other technologies. The nurse may assess remotely and help with self-care or changes in the medical plan, based on protocols or the advice of a provider. 

“Applications could trigger nurses when a patient shows up in an emergency room, and then information could be delivered to the physician at the point of care,” explained Carolyn Richardson, MSN, MBA, RN-BC, regional nursing officer for Zynx Health based in Los Angeles. The company offers ZynxCarebook, a mobile platform to help identify members of a patient’s health team and communicate health information and coordinate care across settings.

Rick Ratliff, managing director of digital health at Accenture based in New York, reported that Accenture has predicted that Food and Drug Administration-approved internet-connected solutions created for detection and treatment of a medical indication are poised to save the health care industry more than $100 billion by the close of 2018.

“Longer-term, these IOT (Internet of Things) technologies represent a shift from reactive care--centering exclusively on in-person visits with nurses and doctors--to proactively managing a patient’s health with interlinked solutions and services geared to an individual,” Ratliff said. 

Benefits for healthy and chronically ill

Currently, Apple has created much buzz with the health apps on Apple Watch, and FitBit has grown quickly in popularity. People are wearing both and tracking their fitness activities. But self-care is also going mainstream, with the health insurer Health Care Service Corp. (HCSC) releasing the Centered app for the watch and phone. The app takes a holistic approach to stress management by allowing users to track their daily physical activity while providing guidance for meditation exercises to help reduce stress levels and improve overall health. Nurses could use this health app to manage their own stress or teach patients how to meditate with it. 

“Our research indicates that an abbreviated, self-guided, online version of the popular Mindfulness-Based Stress Reduction program can help people recognize stress triggers and gain greater insight in managing their health and well-being,” said Conway McDanald, MD, vice president and chief medical officer, Behavioral Health, HCSC. 

While these types of health apps may be valuable to active individuals interested in promoting self-care, Dean Sawyer, CEO of Sentrian in Aliso Viejo, Calif., believes the greater benefit will come from tracking the chronically ill. This can be done with biometric devices able to pick up trends of deterioration in the patient’s condition before symptoms become noticeable--for instance, with congestive heart failure monitoring thoracic fluid and stroke volume changes. Then the clinician can intervene to prevent costly exacerbations. Sentrian is developing and piloting such a remote patient intelligence platform, using biosensors and a rules-based monitoring program. 

“It’s helping physicians make better decisions,” Sawyer said.

Many local health systems are creating various technologies for collating patient data and monitoring indicators of chronic conditions, Ratliff reported. Internet-connected devices using sensors capture continuous health indicators and can transmit real-time patient monitoring data to health care professions. Medical practices and hospitals must create systems to receive and coordinate the incoming data and allow healthcare professionals to take action. 

“Several hospitals are finding early successes in their ability to improve medication adherence, improving behavioral modifications and preventing emergency room visits,” Ratliff said. “It’s the notion that extending care services beyond the brick and mortar that is today’s health care system allows self-care to follow a continuous cycle of prevention, management and improvement.” 

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Craig Silverman via Buzzfeed

This story is about a Nurse who was in a horrific car accident and had the presence of mind to set her 2 broken legs. She realized she’d most likely face amputation if she didn’t do something about it pronto! We think she’s brilliant to have kept her head and used her training in a very stressful situation.

The last thing Stacie Reis remembers before the accident is driving and eating an ice cream cone. Her next memory is of waking up in immense pain inside a mangled car.

Reis was driving on a highway in Northern British Columbia. For some reason, her car went off the road and tumbled down an embankment.

The crash broke both of her legs, as well as her sternum and pelvis. Her heart and lungs suffered contusions. Other parts of her body were fractured.

Reis is a nurse at the University Hospital of Northern BC. She knew from her training that her legs were seriously injured and needed to be set quickly or face amputation.

“The way they were pinned, it wasn’t natural,” she told the Prince George Citizen. “The nurse in me was like, ‘You need to straighten these out otherwise you’re going to cut off your blood supply, you’ll lose your legs.”

Reis picked up her legs and moved them to set them straight. “It was really painful but I did it,” she told Global News.

She spent the next 14 hours praying, thinking, and sleeping as she waited to be found.

The accident happened around 6:30 p.m. on July 4, when Reis was on her way back from visiting her dying grandfather. He died at 1 a.m. that night.

A group of friends finally found her around 8 a.m. the next morning, the Citizen reported.

The day after the accident, one of her fellow nurses set up a GoFundMe page to raise money for Reis’s recovery. It had hoped to raise $5,000 and is currently at more than $16,000. A fundraiser was also held in a pub on Prince George.

Reis has undergone five surgeries and a skin graft. She’s now able to take small trips on hospital grounds.

Here’s Reis and an adorable visitor who will eventually realize she was in the presence of Canada’s Most Badass Nurse.