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DiversityNursing Blog

Nursing Student Brings the Joy of Music to Pediatric Patients

Posted by Alycia Sullivan

Thu, Jan 03, 2013 @ 01:28 PM


When Mary Jo Holuba enters a child’s hospital room, it’s not uncommon for the child’s eyes to widen. After all, most nurses are dressed in scrubs, not princess dresses.

Not Holuba. She’s different. She’s a nursing student in the pediatric nurse practitioner program at Johns Hopkins University, but she’s also a classically trained soprano whose soaring voice can transport her listeners far beyond the sterile confines of a hospital or clinic.

In between classes and studying, Holuba dons the fanciful gowns of fairytale characters and performs for pediatric patients and their families. Sometimes she gives them a full-on presentation, complete with storytelling and grand gestures and songs. And sometimes, she sits next to a child, holds her hand, and quietly croons her to sleep. She takes her cues from the children.

Either way, she is grateful for the chance to use her gift to help sick children feel better. Even just for the length of a song.

“It’s a great thing to see my dream of fusing my passions--nursing and music--happen,” said Holuba, 23.

As a little girl in New Jersey, Holuba spent many hours visiting a young relative in the hospital, which gave her some natural comfort with the hospital environment. Later, as a teenager, she participated in high school and community theater, honing her performing skills. Remembering her own family’s experience, Holuba called up the local children’s hospital and asked if she could come entertain the children.

She had a calling.

When she was a sophomore in high school, her father was diagnosed with multiple myeloma. Over the years, he received treatment at Memorial Sloan-Kettering Cancer Center in New York, including three different stem cell transplants. As she observed his nurses at work, the idea of a possible career in nursing was first planted.

Holuba eventually went on to major in psychology at Columbia University, graduating in three years. Then she enrolled in the accelerated BSN program at Johns Hopkins. She even recorded a CD of beloved Christmas songs, at her father’s encouraging.

“He really loved it,” Holuba said. “He took full credit for it being his idea…We played it for him that last Christmas, and it was really great to see his smile while it was on.” She was privileged to spend some time with her father before he died in January 2012.

After returning to school, she finished her BSN during the summer and began her current master’s degree program.

In Baltimore, Holuba had discovered Dr. Bob’s Place, a palliative-care home for terminally ill infants and children. Ever since that discovery, she has committed herself to weekly visits. Even when she’s trying to juggle all the demands of her program, she always finds time to visit the children.

“I make the time for this as if it were a job,” she said. “It’s really important to me, and I know how much it means to the families. I’ve been that family member where the hours can’t pass quickly enough.”

She loves seeing the children respond to her costume and to the music. She always takes requests from the young patients. She’s equally enthusiastic about slightly off-key group renditions of “Heads, Shoulders, Knees and Toes” and “Twinkle, Twinkle Little Star” as she is about the big Broadway-style numbers that she performs. And when children ask her to sing songs that she doesn’t know, she just encourages the children to teach them to her.

“It’s always fun to make music with them.”

She sees them as children who love music and singing and dancing, not just “sick kids.” “I think that’s a nice change for them,” she said.

With all of her experience, Holuba believes strongly in the value of good end-of-life care and palliative care. Many people don’t want to talk about death or dying, but she realizes it is part of the life process. She hopes to continue exploring her devotion to helping people at such a vulnerable time in their lives.

Her future will certainly include music, too. This spring, Holuba plans to begin visiting the pediatric patients at Johns Hopkins, in addition to Dr. Bob’s. She’ll also continue her course work, with her dream of becoming a pediatric nurse practitioner still in mind. She’s considering a future working with children with cancer in an outpatient setting.

“It’s really just about sharing the music and sharing the time,” she said.


Copyright © 2012. AMN Healthcare, Inc. All Rights Reserved.

Topics: nursing student, music, pediatric, nursing, children, hospital

Future nurses learn with smart dummies

Posted by Alycia Sullivan

Mon, Dec 10, 2012 @ 03:41 PM

November 24, 2012|By Kevin Duffy, Special to The Morning Call

"I need a nurse. I can't breathe! Send a nurse!"

Maria Gonzales is in distress, and her caregivers need to figure out what to do.

She is sitting upright in her hospital bed, knees bent toward her chest. Beside her, a team of nurses and technicians scan the bar-coded bracelet on her wrist, and Gonzales' patient history flashes across the computer screen beside the bed. They quickly assess its contents — she was admitted two days ago with an inflamed pancreas — and check to see if she is flagged from receiving any medications.

A nurse applies a pulse oximeter to Gonzales' index finger to monitor oxygen saturation. Her levels are low. They place an oxygen mask over her nose and mouth. They check the screen again.

She has a history of high cholesterol. The medical team notes the clinical signs: alert and responsive, but expressing pain. What to do?

Complicating matters, her heart rate is low.

From an adjacent monitoring room, an instructor observes the scene through one-way glass but makes no move to help. The nurses, actually students, are on their own. The scene isn't playing out at St. Luke's or Lehigh Valley Hospital, but in a nursing simulator on the campus of Northampton Community College.

And Maria Gonzales is really in no danger. This "46 year-old wife and mother of two" is a mannequin.

This mannequin, however, is a smart dummy. "Maria Gonzales," one of six mannequins recently purchased by NCC at a cost of $75,000, has a full personal profile and medical history available to the students online. Instructor Marie Everhart in this class provided Maria's voice by speaking into a microphone from the observation room, where she also can alter the mannequin's health status.

Maria also has speakers in her ears and a camera installed in her head. This allows the instructors to video the exercise and then debrief the students afterward, said Mary Jean Osborne, program director for the nursing lab.

Gonzales is equipped to simulate 30 scenarios, such as pancreatic inflammation, sickle cell anemia, fractures and allergic reactions to blood transfusions. Instructors can alter the sex of each smart dummy to practice gender-specific exercises.

The technology, which began in the aviation industry with dummy test pilots measuring G-force, goes back about a decade in nursing applications. Neighboring centers of learning such as Lehigh Valley Health Network have been using simulators for some time, but they are new to NCC.

Using a high-tech mannequin "allows us to standardize experiences we'd like each student to have so they have an opportunity to practice what their responses should be," said Mali Bartges, director of nursing practice at the college.

"And to use their reasoning skills — what should I do first?"

As the exercise continues, Maria says she is in extreme pain and her oxygen levels drop.

Everhart leans into the microphone again and coughs for Maria. She presses another button, and Gonzales begins to blink.

"They better call for help," Everhart says.

Ultimately the students do, and the exercise reaches its conclusion. Afterward, the students realize that a rapid response team should have been summoned once the patient's heart rate dropped.

Worrying about administering pain medication, they agreed, is secondary.

There's an obvious benefit to using mannequins for learning.

"When you're using a mannequin you never have to worry about anyone dying or getting hurt," said Joan Yankalunas, education specialist for the Division of Education at Lehigh Valley Health Network.

"You can't do CPR on a live person, but you can certainly do that on a mannequin," she said. "So in those situations, getting the practice helps the student know how they're going to react and what they need to do in an emergency situation. And it's a safe way to learn it."

Student Jennifer Lamont, one of Gonzales' nurses, said the exercise with the mannequin provided a valuable learning experience.

"We are the nurses," she said. "Their lives are in our hands."

Topics: mannequin, nursing student, technology, nurse

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