El Quinto Dia (and Departure)

I know this post is a few days late… You can thank the ocean water for that. Alas, we had an amazing last day in Nicaragua where we helped out at a local health fair, toured around Lago Nicaragua, and made our final trip back to the capital!

At the health fair, we assisted in and observed the gynecology clinic, where we were permitted to observe Pap smears and ultrasounds, the pharmacy, where we helped package and organize prescriptions, and a few other clinics. Brenna and I also helped with the kids’ piñata, an elaborate Santa Claus piñata filled with Nicaraguan candies.

Best of all, a DJ sat outside and played music during the ENTIRE health fair, from 8am until the afternoon when we left! The fair was extremely crowded all morning, with children, men, and women all patiently waiting in long lines outside to be seen by the doctors within.

When the health fair was finally slowing down, we left for lunch, where we were greeted by our wonderful bus driver and his son and daughter! They had come to say their goodbyes and deliver some delicious homemade Nicarguan snacks called Rosquillas! It was delightful. His kids were so excited to meet us, and the Rosquillas were so tasty!

After lunch we said our goodbyes to the two wonderful doctors who accompanied us on most of our trip! It was so sad to say goodbye to them, and we hugged, laughed, and took pictures for as long as we could!

Our drive back to Managua was beautiful. We made a stop at a mountain-top town to buy souvenirs and take pictures of the beautiful Lago Nicaragua and Ometepe Island. The lake itself is made of freshwater but home to bull sharks, and the island has two volcanos, one of which is extremely active… We were told you’re allowed to hike up to the top and look down in the crater at the lava, but that you’re risking your life if do… it erupts fairly frequently.

On our drive down from the mountain town, we saw the most beautiful sunset over Ometepe, a perfect ending to our day.

We ate our last dinner in the hotel in Managua, and arose early in the morning for the flight back home.

Arriving back in the United States has been quite a culture shock… My trip has made me so much more aware of my good fortune and how much relative wealth my country has. Clean tap water, freedom from most mosquito-borne illnesses… the list is extensive and does not end there. Going Christmas shopping reminds me of all of the freedom and money we have to be materialistic… When some can’t even afford to feed their pets…

I cannot put into words how much this trip has impacted me, but I do know one thing: meeting these wonderful, loving, generous people has made me want to be a more compassionate person in my everyday life, and I’m still moved by their loving kindness and welcoming hearts. I hope I am granted the gift of one day returning to that beautiful, happy country, but for now I will hold it in a special place in my heart.

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Congratulations Women’s Health Class of 2016 Graduates

Congratulations Emory University School of Nursing Class of 2016 graduates

(from left) Women’s Health Class of 2016 graduates Tiffanye Williams, Jasmine McCorkle, and Jenna Dannenbaum

The School of Nursing’s Women’s Health program celebrated Class of 2016 graduates, current, and future students in a magical winter wonderland complete with plenty of sparkle, candle light, and snow.

Participants enjoyed the sites, sounds, and treats of the season, while competing in a tacky holiday sweater competition, posing in the holiday photo booth, and leaving messages and well-wishes for graduates and current students. The event was organized by Program Coordinator Trisha Sheridan.

On the evening before the Nell Hodgson Woodruff School of Nursing’s Winter Awards Ceremony, graduates look forward to the future.

Jasmine McCorkle

Why I chose Women’s Health:
I chose women’s Health because I have a passion for helping women. I was originally a labor and deliver nurse, but I would only see my patients for a brief period of time. With primary care I will be able to see them long-term and, hopefully, make a lasting impact on their lives.

Tiffanye Williams
Why I chose Women’s Health:
I was a nurse for about 7.5 years and a travel nurse for about 4.5 years. I had some case management experience for about a year and a half. Throughout my career I discovered that I had a strong passion for helping women and wanted to specialize in Women’s Health.
Plans after Graduation: Besides working…in the near future I would like to open my own clinic for women’s health.

Jenna Dannenbaum
Why I chose Women’s Health
: I was a labor and deliver nurse prior to this in the Atlanta area. I am interested in increasing access to contraception for women and helping women be more educated about their bodies and make more informed decisions about their health throughout their lifespans.
Plans after graduation: After graduation, I am hoping to work in a private practice setting under a good team of doctors whom I can collaborate with and show them what nurse practitioners have to offer.

Learn more about the Women’s Health Nurse Practitioner specialty from current students.


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School of Nursing Celebrates December Graduates with Winter Awards Ceremony

The Nell Hodgson Woodruff School of Nursing honored its December graduates during the school’s annual Winter Awards Ceremony on Saturday, December 17th. Hundreds of families, friends, and alumni were present to celebrate the accomplishments of the school’s graduate and undergraduate students. The graduating class included four Doctor of Nursing Practice students – the first group of students to graduate from this program. In addition, the school recognized 76 Master of Science in Nursing (MSN) students, seven post-graduate certificate students, three Accelerated Bachelor of Science in Nursing + Master of Science in Nursing (AMSN) students, and 43 Bachelor of Science in Nursing (BSN) students.

The Winter Awards Ceremony was held at the Woodruff Health Sciences Center Auditorium. The event featured DNP and MSN class speakers, honors research scholar recognition, and an awards presentation honoring students who demonstrated excellence in leadership, service, collaboration, innovation, and personal character. The student award winners are as follows:

• Award of Excellence – Molly Jobe and Bill Rankin
• Excellence in Collaboration – Jessica Goza and Katharine Williams
• Excellence in Social Responsibility – Ida Curtis and Meghan Krueger
• Excellence in Innovation – Jill Peters and Amy Greenblatt
• Excellence in Leadership – Abby Wetzel and Avni Suresh

In collaboration with the Emory Nurses’ Alumni Association, the School of Nursing also paid tribute to three outstanding students with the distribution of the Silver Bowl Awards, the highest student honor. DNP student Laura Prado, MSN student Audrey Straus, and BSN student Charity Taylor received this year’s Silver Bowl Awards for demonstrating exceptional clinical and scholastic abilities while also serving as inspiration for other students.

Student-nominated awards were also given to two faculty members on behalf of the Emory Student Nurses Association. These awards, known as the “Heart of the Students” awards, are given each year to faculty members who go above and beyond in their teaching and mentoring. This year’s “Heart of the Students” awards were presented to graduate faculty member Dr. Ginny Secor, PhD, RN and undergraduate faculty member, Dr. Ann Horigan, PhD, RN.

View photos from the event below.

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A Sierra Leone Nursing Student’s Visit to Emory School of Nursing

Andrew Brima Sesay a community health nursing graduate of the Defense School of Nursing at Wilberforce in Freetown, Sierra Leone (formerly called the Forces Nurses Training School), visited the School of Nursing to explore global health nursing opportunities in the United States.

During Sesay’s visit to the Nell Hodgson Woodruff School of Nursing, he toured the School of Nursing and Emory University Hospital, met with key global health faculty members and students, and explored the school’s simulation lab. He was also treated to a special reception in his honor, hosted by the School of Nursing’s chapter of Sigma Theta Tau International, the nursing honor society.

Sesay’s foray into the field of health care began when he worked as a nurse aide and x-ray technician at the St. John of God Hospital in Mabasseneh, Sierra Leone, one of only five hospitals in the country. After completing his nursing degree, he worked for two years with Medecins Sans Frontieres (Doctors Without Borders) as a pediatric nurse at the Magburaka Government Hospital in the Tonkolili District, located in the northern province of Sierra Leone. In 2008, at the end of his contract with Medecins Sans Frontieres, Sesay began working at the Wellbody Alliance, a nonprofit organization working to provide health care as a human right in the Kono District of Sierra Leone, a position he still holds today.
Sesay’s dedication to global health and human rights was highlighted when, in 2014, he became the key liaison for Ebola virus response in Sierra Leone’s Port Loko District, which had one of the highest per capita rates of infection during the outbreak. He also helped Partners in Health, a global organization dedicated to working with local government officials and medical and academic institutions to strengthen health systems, establish the Maforki Ebola treatment unit and the Ebola isolation and treatment center at the Port Loko Government Hospital. Sesay also served as the clinical manager of the Port Loko Government Hospital’s isolation center from 2015-2016.

School of Nursing faculty, staff, and students enjoyed hosting Sesay during his trip to the United States. You can see photos from his visit below.

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Montego Bay: Nursing is an art and a science

After three days in Jamaica, we all started to have a routine: wake up, get ready, eat eggs, drink coffee, and file into the two blue buses with Willie and Mr. Miller (our amazing bus drivers) to start the day.

As the blue vans started driving down the rugged gravel roads, I still could not grasp the fact that we were driving on the opposite side of the road. The separation between each lane were so small that it felt like we were hugging the other drivers going the opposite direction. However, both Willie and Mr. Miller had no fear or hesitation. They swiftly diverted the pot holes, the sharp turns, and the other experienced drivers.

We started the day by heading to a day school for children. Remi (BSN ’17) took charge and started the education with hand washing. The children excitedly washed their hands in the court yard and then vigorously rubbed glo germ all over their fingers. With a black light, Remi and the other students demonstrated how well the kids performed the hand washing. The children’s eyes widened as their hands glowed. We knew that this activity captured their interest. We then followed the hand washing education with teaching children how to brush their teeth and how to eat a balanced meal. Dr. Ades would be proud!

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We also continued to provide free health screenings to the educators of the school. They continuously smiled as we taught them about diet, exercise, and their overall health. Overjoyed with appreciation, they showered us with hugs and genuine compliments.

Filled with affirmation, we drove to Cornwall Regional Hospital where we were greeted by the Chief Nursing Officer, Marva Lawson-Byfield, at the Ministry of Health Jamaica. She intently started at us as she shared her love for her patients and for the career of nursing. “Nursing is an art and a science. The art is in the heart and the science is in the conscious.”

Her words reminded us of our choice in nursing and those words continued to resonate with us as we toured the different wards of the hospital. When we reflected afterwards about this humbling experience, we realized that different aspects of the hospital impacted us. Some of us recognized that their lack of an EMR system served them well and allowed them to break away from routine and use their minds to serve others. Some of us saw this as an overwhelming experience and how this hospital reminded them of why they decided to become nurses. Lastly, some of us witnessed nurses creating innovative solutions and loving care to their patients. Ms. Lawson-Byfield said it well when she ended her welcoming speech emphasizing how attitude towards your job and towards your patient is every thing.

With our stomachs growling, we headed to Juici Patties to culture ourselves with Jamaican patty. This flaky baked pastry shell contained different fillings (beef, chicken, or vegetables) that exploded in my mouth with a diverse mixture of mesmerizing spices.

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We then continued our day with a Cornwall Regional Hospital Nurse Graduation. The soon to be nurses slowly walked into the church with their blue striped hats and their crisp white dresses. As I watched them, I couldn’t stop my mind from wandering to our own graduation either in either May or December of next year.

After sharing the experience with Jamaica’s future nurses, we ended our day with a children after school program that overlooked the lush Jamaican mountains. As our blue van slowly drove up to the gate, Candace (ABSN ’17) opened the van door and said “Change of plans”. As team lead with Blair (BSN ’17), they decisively directed five of us to quickly prepare a skit about bullying, delegated three of us to follow the skit with yoga, and sent two of us to the office to provide health screenings for the staff.

Prior to the skit, Dria (ABSN ’17) invited two of the children up to participate in the skit and stand up for the girl that was being bullied (me-Lisa, ABSN ’17). The girls courageously said “stop!” and stood in front of me to hinder Dria and Sarah (ABSN ’17) from their actions. Through this experience, we started to see their understanding and their strength.

Alex (BSN ’17) also creatively took a few females to the corner of the playground to discuss women’s health. Besides the unexpected rap performance by the girls, she ultimately created an open space for the girls to speak comfortably about being a women, about hormones, sex, and contraceptives.

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Although the day was long, hot, and sweaty, we witnessed health promotion at work through each other and through the people of Jamaica. It’s amazing to see the amount of heart and commitment my peers have for those they serve. I am excited to see our next adventure tomorrow! 

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MoBay Debrief

The voices in the hallway vibrated across our thin hotel door. My eyes slowly opened as the sunlight slowly pierced through our curtains. It is remarkable to think that only 1 week ago, 18 strangers stepped on this island not fully knowing what this trip entailed. Now, on our final night, we laughed and reflected on our memories together over a delicious meal by the ocean side.

It amazed me how passionate this team was in order to serve the Jamaican community. During our last debrief, we shared our experiences of this trip and I witnessed the impacts that this beautiful country and its people had on each of us. In our last blog, we shared the humans of Montego Bay and today, I wanted to share the humans of Emory Nursing.

Alex (BSN ’17)

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“I really admired the teen girls and moms. They were so brave and strong even through everything. The moms cared about their children so much. They were so willing to open up. The strength of the women here was so amazing.”

Ivey (ABSN ’17)

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“One of the things that struck me about this whole trip was the schedule. We were only going to be at places for like two hours. However, once I was on the trip, we ended up learning about ourselves. It affirmed why I wanted to be a nurse. I coach soccer and when I heard Madam Chief talk about the head, the hands, and the heart, it resonated to me. Everything is heart.”

Blair (BSN ’17)

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“My favorite part of this trip was the hospice because it was the population I was created to serve. I also really enjoyed the rural part when we talked about the prostate. We were out in the middle of no where and we were able to serve the population. I saw the impact of nursing.”

Dria (ABSN ’17)

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“From this trip, I think it is also important that we think about the stereotypes we had when we came in. We had experiences we never had before. It is really important to look within ourselves, to see our own hidden stereotypes, and to look at what we have learned. We need to constantly keep asking ourselves these questions”

Fielding (BSN ’17)

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“Montego Bay has given me the opportunity to step out of my comfort zone and explore a part of nursing that I do not typically engage myself in. It has been gratifying to work with all ages, genders, and cultures knowing that we have left a lasting impact on these people, as they have done the same for me.”

Meghan (ABSN ’17)

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“During counseling with the community, I was trying to tell a man the difference between brown and white rice. The man was like ‘Whaaaaat.’ He was really fascinated and intrigued by the whole thing. It was amazing that people took away what I taught them.”

Nicole (BSN ’17)

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“I started crying because there was so much at the hospice we couldn’t do. However, we connected on a spiritual and relational level. This is a reminder that we can do more. It is more than treating. We can give hope and encouragement to others.”

Sarah (ABSN ’17)

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“They are so innovative. Everyone we talked to was so passionate. There are definitely a lot of things we can take away from them. Meeting Madam Chief Byfield was also a powerful experience and we were all inspired by her strong words.”

Jackie (BSN ’17)

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“One thing I learned from this trip is a new definition of rich. We come from a very rich country but Jamaica is rich in a different way. They are rich in their love. They don’t have a lot, but they are willing to share. Seeing how thankful they are, I was blown away. I never expected to be embraced by Jamaica as we have been.”

Elianne (ABSN ’17)

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“I loved seeing all of us being so flexible. It has motivated me. This has been such a new population, but we have been able to do it. While overhearing the conversations and watching us work with our situations, it really has motivated me to learn more and not rely on only conventional medicine. To think outside the box.”

Remi (BSN ’17)

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“I learned about everyone on my team, about myself, and about Jamaica. It was eye opening and we take a lot of things for granted. I also learned that I had leadership skills that I didn’t know I had.”

Candice (ABSN ’17)

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“The trip has been wonderful. I have been amazed by family and community, the presence of God in Jamaica. Even with the hardest problems, they still keep a good sense of peace.”

Sophia (AMSN ’18)

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“My most significant experience was at the orphanage. A boy crawled over and propped himself next to me and hugged my leg. It is so touching to see the infants and and their love.”

Fauziya (BSN ’17)

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“A lady we saw had a blood pressure of 190/100 and we had to tell her daughter to have her mother seek medical care. Her daughter responded that she usually has that. It frustrated me that her mother was suffering from this elevated blood pressure, but there was nothing we could do. But working with such a vulnerable population makes it a more rewarding impact. It has really been a humbling experience.”

Lisa (ABSN ’17)

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“Witnessing the passion and dedication of everyone on this team has been inspiring. Everyone was so willing to step and it encouraged me to step up myself.”

Elizabeth (BSN ’17)

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“The experience puts things in perspective and makes you appreciate what you have. I really enjoyed our nursing and just our general life skills. Being able to assess situations by being group leaders and meeting people at where they are at.”

Dr. Horigan

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“Sometimes, we lose the head and the heart. We need to step it up and be proud of who we are. It is not just a job. There are no half points because there are no half lives.”

Dr. Muirhead

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“Building a team is so important. As long as we impact one life, that is enough. It is not about us. It is about the service.”

Thank you Emory and Jamaica for this amazing experience.

 

“I never thought I would bond with a team over milk of magnesia” -Ivey

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El Cuarto Dia

What a day…. This morning I woke up early, around 6am, to watch the beautiful sunrise on the beach. Pigs snored in their owner’s backyards and we witnessed a mother pig nursing her baby wilburs!!

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After a breakfast of omelettes and pancakes, we piled into the bus and made our way to the nearby community called El Tambo. I was so caught off guard when we arrived… We met a few of the families, who live in a variety of homes… Most were small, one-room brick-house dwellings with tin roofs, but some were made of less sturdy materials like thin logs and sheets and open to the outside.

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Chickens ran around the front yards, going inside occasionally to escape the curious visitors who were trying to catch them. A lone, skinny puppy peered shyly at us from one of the front stoops.

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One of leaders of El Tambo gave us a tour of the neighborhood, introducing us to members of the community. We ended up meeting an older man who asked us for help with his eyes. Professor Kelly grabbed her pen light and examined the man’s cloudy eye… she then spent the next half hour speaking with him and attempting to arrange a way for him to get driven to the nearby health clinic.

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After more community members had arrived, we gave several presentations on health promotion topics, including diabetes, hypertension, clean water, and breast exam education in the community center next door.

They were the most wonderful women, and they were so welcoming to us! They loved our presentations and thanked us for them often. A few of us got to play with their adorable children while they stayed and watched the presentations, a welcome break for them from the constant attention the playful toddlers and babies required. (We also got to watch Finding Dori with them!)

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It was so obvious they appreciated the time we spent with them, and they showed their gratitude by surprising us with the most delicious meal we had experienced YET, a delicious homemade chicken dish with rice, squash, pico de gallo, and amazing sauce. They even brought us homemade star fruit juice!

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We were moved (to tears) by their generosity. They showed complete strangers so much love and hospitality, and they trusted us immensely, not only with their children but with sharing their difficult stories with us.

This just goes to show, someone can have almost nothing… Barely enough money to even feed their family, to buy building materials, or own a mode of transportation, but they still may be some of the kindest, most hospitable, welcoming people you will ever meet in your life. We all agreed-today will have an impact on us for life.

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El Tercer Dia

Today we got to sleep in… For an entire extra hour!!! We packed our things, hopped in the van, and traveled to a new location at 7am- a municipality called “Tola,” a rural area outside of the city of Rivas. The scenery changed drastically from crowded streets and stores to lush forests, fields, cattle, and hundreds of wild dogs.

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We made our first stop at one of the main Tola health clinics, and we received a tour from the doctor of the clinic! Divided into groups, we spent the next few hours helping out the staff. Meghan, Susan, Indira, Brandon and I provided assistance in the family health/general medicine clinic, where we were taught a lot of information about how the nurses and doctors must know everything about all of the people in their municipality!

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Brenna and Amanda worked in the ER where they helped with wound care and taking vitals!

Kimberly, Katherine, Angela, Mackenzie, and Ali helped out in “Mommy and Me” where they tracked and measured growth of babies and gave immunizations.

The clinic even had a natural health department which utilized the garden outside! Katherine got to sit in on one patient’s reflexology appointment! It was very exciting, although she unfortunately did not get to receive a massage herself…

We all loved the artwork and posters throughout the clinic, which contained educational messages about proper self-examinations, nutrition, and herbal medicine! The building was so colorful- a beautiful sea-green!

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When we were done working in the clinics, the director of the Tola health ministry gave us a presentation on the health statistics of the area and the vector-born disease program. We were blown away by their public health program, and we told them so!

Carlos, a peace corps volunteer in Tola, was also very excited to meet us and talk to us today! He’s originally from New York, and was really excited to see some fellow Americans. We received a different perspective on Tola and the healthcare system with his point of view.

We eventually piled back into the van and made our way to the hotel. During the drive, we were stopped by several herds of cattle. I also accidentally scared the bus driver when I shouted excitedly about baby pigs and chicks in someone’s yard. “Lo siento, senor!”

We were FLOORED when we arrived at the hotel! What a beautiful place, and right next to the ocean!

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After dinner we mingled some and then took a nighttime walk on the beautiful beach. Tomorrow we wake up bright and early for another day full of work at the clinic!

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Humans of Montego Bay

During our time in Montego Bay, we met some incredible people with even more incredible stories. We were encouraged and embraced by each of them as we had the privilege to serve them. It had become evideimg_2173nt that our trip was intended to be more than the act of pouring out materials to a resource poor city. Rather, it was meant to be an opportunity to serve others while learning valuable lessons that are worth more than anything money can buy. Today, we had the privilege to talk to some of the people in the city of Retirement. We asked them what motivated them to come in today for their health screenings and their answers reflected their eagerness to learn about their health. Thank you to these amazing individuals for volunteering their stories.

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“It is important to know of your cancer or your blood sugar so that you can be treated and take medication for it. I saw the driver and was told about the health screening so I decided to stop by. It is always good to know than to not know.”

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“Experience with getting my blood sugar checked. I thought it was going to be painful but it was not. It was the first time to know what is going on with me.”

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“In a community we appreciate all of the activities going on. Check on your system to find out what problems you have.”

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“Because we don’t have money to private doctor and since you are free, why not come. There are a lot of people and no doctors to attend. We appreciate you guys coming. There are so many diseases coming around that make me very concerned. We have to make sure to check our systems to see if we are okay. With you guys here, we feel good.”

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“It has gotten better but before, it was not so good. All day and all night to see a doctor. They just give you a prescription and that’s it. I am diabetic and my health is really important. Only Metformin is free. Insulin, you have to buy. In so many years, you are the first in 15 years that have come out to screen us.” img_2159

 

 

 

 

 

 

 

“Very excited to come. We need to keep our body healthy, eat properly to stay active.”

 

Lastly we had the honor of talking to Marva Lawson-Byfield, the Chief Nursing Officer of Jamaica, as she shared inspirational words with us. Almost every one of us were welling with tears in our eyes when she reminded us of how important it is to not only learn the code of nursing ethics but to actually put it into practice. The way in which she spoke with absolute confidence, warmth, and authenticity left us in awe of her ability to touch all people in such a personal way. In some ways, we felt like we were watching our childhood super hero while dreaming to be like her one day. By the end of the night, we were filled with the hope and the motivation to soon become the type of nurse that she described– one that serves others with the guidance of our head, heart, and hands.

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“If nurses don’t care, the patient dies. The head and the hands must be guided by the heart.”

In the words of Reverend Clement Clarke, the senior pastor of Montego Bay New Testament Church of God, “Do not ever forget, nursing is a calling.” 

 

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El Segundo Dia

We woke up bright and early and departed for the hospital at 6:45am this morning! Rested and more comfortable with our surroundings, we entered the hospital with excitement showing on our faces! In groups of four, we spent two hours each in the emergency room, labor and delivery, and the operating room.

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Brenna, Meghan, Amanda and I began our day in the OR, where Doctor Mariana Jarquin, our medical brigade advisor, and our Puerto Rican nursing instructor, Gladys, acting as an interpreter, showed us through the operating room. We donned shoe covers, hair nets, and face masks and proceeded into the OR, where we were informed five “cesarias” (C-sections) would be taking place later in the day. We were kindly invited by two surgeons to watch them perform ophthalmic surgeries. One surgery was on an older man’s left eye cataract, while the other involved the setting of a maxillofacial bone fracture on a young woman’s face.

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We began with the occipital bone surgery, and observed the many scrub nurses and surgery assistants as they prepared the girl for surgery. They put her under general anesthesia, intubated her, and put her on a mechanical ventilator, all the while answering our questions as Gladys interpreted for us. We cringed at some details, which I will spare the reader from, but all in all it was a quick and successful surgery, and it absolutely fascinating to watch!

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Next, we traveled to the cataract surgery room, where the surgeon allowed us to view the man’s eye under the microscope before he began his removal of the lens.

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After only a short few minutes, we were beckoned by Mariana into the hallway, where she informed us we would be allowed to watch the first C-section of the morning. Excited and nervous, we entered the room, just as the surgeon was making the first cut. In just 15 minutes, the first squeal came from the body of the 8lb. baby boy as they moved him from his mother on the operating table to an incubation bed. The nurses took his thumb print and foot print, and cleaned him off. They let us join them as they moved him to another room to receive his Vitamin K shot and antibiotic eye ointment. We then joyously took turns holding him and welcoming him into the world!

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We spent the rest of the day moving between the emergency room and the neonatal-ICU, helping in what small ways we could. Meghan and I assisted the one nurse in the emergency room with some much needed help preparing medications, while Brenna and Amanda helped clean and feed babies in the neonatal department.

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During our transitions between departments, we spoke to the other groups and learned about their rotation experiences in the various departments. We all agreed, today had been incredible.

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We ended our day with a late lunch shared with the nursing directors, while Kimberly and Katherine gave incredible presentations on their knowledge of baby massage techniques, natural birth, and child birth practices in US hospitals. The Nicaraguan nurses had so many questions and were so intrigued by our perspectives!

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Now we are relaxing in the hotel lobby, chatting about our experiences and waiting for the van to arrive to take us to dinner. We are famished after such a busy day!!!

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