Author Archives: nursingdevo

The Stillborn

As a part of the 50th anniversary of the BYU College of Nursing, a book was compiled called “The Healer’s Art: 50 stories for 50 years.” It has been 15 years since this book was first published and these stories were shared. We plan to regularly post selections from this book to help each of us remember and cherish the experiences of nursing and learning the Healer’s art. 

 

The Stillborn

Tyrone Brown

We often think of the nurse who has The Healer’s Art, but on this particular day, it was two patients that touched my heart. Three years ago, my life plan took a dramatic change. I was a football player for Brigham Young University, a nationally ranked division I team. Like many players, I had the dream of playing in the National Football League. During my sophomore year I suffered an injury that caused two herniated discs in my lower back and ended my career as a football player. Not only was my dream cut short, it was completely obliterated. Despite this unfortunate event, I was a firm believer that other doors will open when one closes.

I had a close friend who encouraged me to go into nursing. I courageously, and with an extreme alteration to my ego, acted upon his advice! I applied to and was accepted into the nursing program at BYU.

After about half a year in the program I was going into the clinical rotation that I dreaded most: Labor and delivery. This is where my story begins. You see, I’m six-foot-three, male, muscular, African American, and bald (by choice). Sometimes I see myself in the mirror and I get scared! I was terrified that the patients and other nurses would be so afraid of me, they would ask me to leave the room or wait outside the door during my time there. Most of all I thought, “How am I, a man, going to offer encouragement and support to a woman when I have no clue what it is like to be pregnant and in labor?” I thought my whole time there was going to be miserable and a waste of time.

Ironically, this turned out not to be the case at all; it turned out to be one of my most memorable rotations as a nursing student. It was during this rotation that I had an experience that would expand my perspective and outlook on life, for it was this experience that taught me what the Healer’s Art is all about.

On this particular day, I was assigned to work with a nurse who would be helping a mother and her family recover physically and spiritually after giving birth to a stillborn that morning. When we walked in the room to introduce ourselves, a Catholic priest was there giving the baby a blessing. The baby was in the arms of a young boy who was lying down asleep on a bed. I later learned that this young boy had cried himself to sleep with his baby brother in his arms. The room was dark and smelled of blood and body fluids. The father was in the bathroom.

We learned from the night shift nurse that the father had passed out when the baby was born. The mother was lying in bed with the underlying sheets covered in blood. She was sad, disappointed, and confused. This would have been her eighth child. She was diagnosed with chronic hypertension and had had poor prenatal care.  The baby had apparently been dead for a month because upon her admission to the hospital she reported no fetal movement for about this length of time.

Finally, the priest left the room and then the nurse also left to get a consent form to have an autopsy performed, so it was me alone with this family. I sat beside the father as he held his baby boy in his arms. I didn’t know what to say, so I didn’t say anything at all; I just put my hands on his shoulder. The nurse returned to the room with the consent form. The father then asked me if I could hold the baby while he signed the papers. It was a moment in time that I will never forget.  There was not the usual movement, crying, or opening of the mouth and eyes. There was blood around the baby’s mouth, eyes, and on his head. Vernix was still around his arms and legs. A million thoughts rushed in my mind. I thought about what this little boy’s spirit would have been like. I thought about all the fun things he would miss out on in life, like learning how to throw a baseball or ride a bike or his first kiss.

The nurse and I finished helping this family. We switched the mother to another bed. We took the baby to the morgue. I learned all about the process and the extended amount of paper work that must be done in these terrible situations.

Later that day as I was sitting at the nurses station watching the fetal monitor of a new patient, one of the nurses walked by with a newborn and asked me if I would hold the baby while she finished getting a few things together. As I held this live and active newborn in my arms, I thought about my earlier experience. I could feel the heartbeat of this new baby boy I was now holding. He opened his mouth wide and moved his arms and body. I couldn’t help but smile and feel love for this precious gift of life. My troubled heart was becoming mended.

The first time I held a baby in Labor and delivery was when I held the stillborn. The second time was later that day when I held the live newborn. In just one day I saw and felt the whole spectrum of the good and bad in Labor and delivery.

You see, most of the time we think of the nurse as the one who has The Healer’s Art, but on this day it was these two tiny little babies that opened my heart and touched it forever. Who knows, maybe it was part of this little stillborn’s mission to come to earth and touch my life. I will never forget him. He will always remain close to my heart. Wow, the children—no wonder Jesus loved them so much. Theirs is truly the kingdom of Heaven.

Nursing College Names New Associate Deans; Current Dean Reinstated

 

NewAssocDeans

Pictured left to right: Jane Lassetter, Kathy Whitenight, Patricia Ravert, and Katreena Merrill.

Professor Dr. Jane H. Lassetter has been named as the new associate dean for graduate studies and scholarly works and contribution to the discipline. Also associate professor Dr. Katreena Merrill was named as the associate dean for undergraduate studies.

 

NewAssocDean1Lassetter (AS ’81, BS ’98, MS ’01) PhD, RN, is a college alumnus and received three BYU nursing degrees before obtaining a terminal degree in nursing from Oregon Health Sciences University in 2008. She recently completed a graduate certificate in Healthcare Ethics from Creighton University. Lassetter was honored with the BYU Muriel Thole Teaching and Learning Faculty Fellowship last August. She is the president of the International Family Nursing Association, and Governor-at-Large for the Western Institute of Nursing. She was also inducted in 2015 as a member of the Western Academy of Nursing. Her research focuses on childhood obesity and the roles of families and culture. She is replacing Dr. Mary Williams who served in this position for 27-years.

newassocdean2.jpgMerrill (AS ’83, BS ’85) PhD, RN, is also an alumna of the nursing college and received a Doctor of Philosophy from the University of Utah in 2011. She was recently inducted into the National Academies of Practice, and was given the College of Nursing’s 2017 Dr. Elaine Dyer Research Endowment Award, as well as receive its Myrtie Fulton Nursing Award in 2011. Her research and faculty specialties deal with quality improvement, patient safety, and nursing leadership in acute-care settings. As such she was honored with the Marriner S. Eccles Foundation Scholarship Award in 2006 and a Nursing Excellence Award from Intermountain Healthcare Urban South Region in 2005. She is replacing Dr. Kent Blad who was in this role the past five years.

Associate professor Dr. Williams (BS ’71) PhD, RN, began in this job at the start of the 1990 academic year and worked under five college deans. While the exact wording of her title may have changed over the years, she was responsible for the graduate program and for the scholarly works efforts of the college (which included faculty research and contribution to the discipline). Her service was recognized in 2009 with the university’s Wesley P. Lloyd Award for Distinction in Graduate Education. Williams’ College knowledge and insight allowed her to chair the college’s 40th-, 50th– and 60th-anniversary celebrations.

Teaching professor Dr. Blad (MS ’99) DNP, FNP-c, ACNP-BC, FCCM, FAANP developed the veteran section of the clinical practicum for public and global health nursing course, in which nursing students are taught how to care for the veteran population and then during spring term spend a week in Washington, DC, learning firsthand from various veterans and veteran groups, historical sites and clinical settings. Students also serve as guardians to veterans on a yearly college-sponsored Utah Honor Flight experience (which takes veterans to Washington, DC to view war memorials and historic sites in their honor). Blad received a presidential citation for Contributions to the Society of Critical Care Medicine from the Society of Critical Care Medicine earlier this year.

Additionally, Dr. Patricia K. Ravert was asked by the University to continue as Nursing Dean for a second term, effective July 1. While this was shared with College faculty and staff in March, it was never publicly announced.

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Dean and professor Ravert (AS ’74, BS ’75, MS ’94) PhD, RN, CNE, ANEF, FAAN is a pioneer in nursing simulation and is a national leader in the development of virtual learning scenarios. In March 2015, Mometrix Test Preparation released a listing of the 30 most influential nursing deans in the nation. Dr. Ravert was listed at the 19th position on this prestigious list.

 

She also received the 2009 Excellence in the Academic Setting Award from the International Association of Clinical Simulation and Learning, and a 2006 Excellence in Research Award from Sigma Theta Tau, Iota Iota Chapter at Large (the university’s nursing honor society chapter).

Assistant dean Kathy A. Whitenight MBA, remains in her current position and oversees resource management for the College.

An Arabic Major’s Humorous Experience Learning How to Administer an IV

Watch the video version of this at https://www.youtube.com/watch?v=vJYqP5tS_uA.

“Be sure to inform the patient of the prick…”

I vaguely registered these words as I stared at the computer monitor. The presentation seemed to be dragging itself out a little, and my concentration was slipping.

“Be sure to properly dispose any blood-splattered material…”

My eyes shot open. Run that by me again? Blood-splattered material? Was I practicing to be a nurse or a butcher?

The flurry of medical terms that began erupting from the headphones about cannulation and catheters confirmed that indeed, this was IV placement training, and augmented how out of place I felt in the Mary Jane Rawlins Geertsen Nursing Learning Center.

My name is Steven Tibbitts, and I am a public relations assistant in the BYU College of Nursing. I am also a Middle East Studies/Arabic major. This means that when nursing faculty and students start talking about dyspnea and dilation, I’m usually grabbing a dictionary.

Given my non-medical background, it was decided that I would go through some of the same computer/machine training for IV placement that nursing students complete in order to write a story on the difficulty level.

Summary to the non-initiated—it’s hard. Lazy readers can stop here.

NLC Assistant Supervisor Kristen Whipple guided me through the process, giving me the same instructions she gives to normal students. The whole system is composed of a computer program and a small machine to which you administer the IV. For a nursing student to pass, they have to earn a 73% on the procedure.

I first had to watch several training videos. They made me feel good by reminding me how much easier Arabic is to understand than medical terminology.

IV 2

“What does this all mean?”

Following that, an image flashed on the screen about a patient to whom I would administer an IV, complete with a backstory about the accident that put her in the hospital. I could not help but think that the accident might not wind up being the worst part of her day by the time we were done.

It was time to get down to business. I selected the mid-arm as the injection point, and then scrambled to figure out what supplies I would require, my lack of understanding evident in the questions I asked myself aloud. How many needles? Which kind? Wait, IV needles come in gauges? (Nursing students, try not to mock me too much here.)

The program then had me prepare to administer the IV, first by informing the patient of the impending procedure, and then putting on rubber gloves with a satisfying snap. It then instructed me to test the viability of my selected injection site. This was accomplished by touching the part of the machine that mimicked human skin and feeling the pulse that it generated.

Easy, I thought, just like surgery class in first grade when Miss Conn taught us how to identify strong blood flow by palpating the patient’s veins…wait…

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“Here goes nothing…oh wait, there’s blood!”

With a site selected, I washed it on the computer and then realized that it was actually time to use the pointy thing. I apologized profusely to the imaginary patient, picked up the needle, and gingerly began to maneuver it into the hole on the machine that represented the insertion point. I watched my progress on the screen, realizing that most likely a real patient would be filling out lawsuit papers by now with the arm that I had not maimed.  However, after some fiddling, I did manage to place the catheter.

About that point, I remembered that I needed to warn the patient that I was going to place the IV, so they received a heads up a solid two minutes after the fact.

As you might guess, my initial score was not superb.  The report had many tips that Whipple helped me understand, like not moving the needle back and forth in the vein (be grateful that I will never be a nurse) and warning the patient before I poke them.

I practiced several times, achieved a 92 on the third, and then called it quits when my scores began precipitously plummeting to the 60s. In fact, I never managed to completely the procedure successfully by the program’s standards. One of the times even resulted in the patient bleeding profusely (this attempt is highlighted in the above video).

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“I need to flee the country before they sue!”

While I was contemplating my failure, Whipple explained to me the same thing that she does to Type A nursing students who get only a 73.

Obviously, the computer program is not a real patient. It is like a nursing video game whose purpose is to initiate students into IV training. This training is coupled with practicing on manikin arms and other materials, so the skill is finely honed during first semester, despite what people’s initial results may be with the machine. It is all about practice.

The experience showed me that a) I’m happy to stick with العربي and b) nursing students are very well trained and capable. Their program is rigorous and ensures that students are able to provide care in an effective way, all with the Spirit. The BYU College of Nursing holds its students to a high standard, which translates into better patient care and safer medical practices.

In summary, if you’re in a hospital and you find a BYU College of Nursing graduate administering your IV, rest easy, you’re in good hands.

If it’s me, run for the hills.

Nursing Student Works to Raise Money to Combat Childhood Cancer and Honor His Grandfather

BYU College of Nursing student James Reinhardt’s grandfather has always been a positive example for him. He loves admiring his grandfather’s woodwork in the handmade clock in the family house, and he describes the former elementary school teacher as a peacemaker and a critical influence in the life of Reinhardt’s father.

There is only one catch: Reinhardt has never met him. His grandfather died of cancer in 1991, but his legacy lives on. That legacy is inspiring Reinhardt to participate in the Great Cycling Challenge USA fundraiser this June, where he will be biking hundreds of miles to raise money to combat childhood cancer.

“I saw it on Facebook, of all places,” Reinhardt says of the event. “It’s essentially where people across the nation will ride for the fight against cancer.” For the challenge, riders pledge to ride a certain number of miles, and they recruit friends and family to donate either by each mile or in a lump sum. Reinhardt hopes to reach $500 by the end of the month.

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Reinhardt’s grandfather, who passed away from cancer in 1991

To complete the challenge, Reinhardt is using a bike that actually belonged to his father while he was in college, and his grandfather’s story drives him to reach the 200-mile goal he has set.

“It’s cool to me to be riding my dad’s bike in honor of his dad who passed from cancer because we all think we’re going to be 100 and that you’re going to be able to see your great grandkids,” he says. “Well, he has to see them from the other side of the veil. That would be pretty cool if we could get more and more research so people could expect to live past their retirement age.”

The Great Cycle Challenge USA’s website says that its riders have gone 3,397,199 miles over the past two years and have raised $4,717,515 for cancer research. Riders often offer incentives to donors to contribute, and Reinhardt is considering letting the highest donor choose a costume for him to wear the last week of June.

Anyone who wishes to support Reinhardt can go to his rider page to donate (https://greatcyclechallenge.com/Riders/JamesReinhardt). Others who want to be riders can go to the Great Cycle Challenge USA website and sign up.

Learning the Truth Behind The Healer’s Art

As a part of the 50th anniversary of the BYU College of Nursing, a book was compiled called “The Healer’s Art: 50 stories for 50 years.” It has been 15 years since this book was first published and these stories were shared. We plan to regularly post selections from this book to help each of us remember and cherish the experiences of nursing and learning the Healer’s art. 

Learning the Truth Behind The Healer’s Art

Robyn Carlsen

When I began college, choosing a major was hard because I found it unfathomable to have to decide on that one thing I enjoyed enough to commit to for the rest of my life. When I finally chose nursing and began the prerequisites, it made so much sense. I had been sick much of my life with asthma, allergies, kidney stones, and infections; I felt there was no one better to empathize with those in pain. After all, what more could an eighteen year old girl go through? I had been in the hospital more times than all my known acquaintances combined. When I began the nursing program, I was confident in the hospital setting, with the medical terms, and with the seemingly complicated medical technology. I was going to be able to master this profession. I guess I could say I was “prepared” many years before! All of my confident empathy and nonchalance regarding patients vanished one term. It forever changed how I thought about myself and how I interacted with others.

During an oncology nursing elective, I arrived at the children’s hospital outpatient oncology clinic prepared to learn as much as I could about childhood cancer. We saw the first patient around 8:00 am and prepared him to see the doctor and answer any questions. Matt and his mother were waiting inside one of the exam rooms. The nurse had prepared me to see the patient by telling me about the patient’s disease, history, and reason for the visit while walking to the room. Matt was a seven year old who had been diagnosed with Leukemia over a year ago. It had gone into remission, only to be rediscovered a month ago. At the beginning of every patient’s new treatment cycle, they were given a treatment calendar that displayed all the different injections, chemotherapy, and radiation appointments scattered over the next few weeks.

As I went over all of the appointments with Matt and his mother, something sprang alive inside me. Big eyes, scrapes on his knees, and dirty hands all contributed to the picture worthy of a Saturday Evening Post cover. Matt was old enough to know what was happening to his young body. He had not yet had a chance to attend school without this diagnoses hanging over his head. He was learning to read from the books that were stacked next to the IV poles and learning to tell time from the clocks that hung over his chemotherapy. It was an uncertain future for a boy who had barely had time to dream, but still had large ones.

I began to think about all the things he needed and how little my nursing knowledge and hospital experience mattered to this boy with a potentially fatal disease. I knew my controlled asthma, antibiotics, and dreams for the future were not the things that were going to enable me to sympathize with and help these patients. There was nothing I had experienced that would compare to the courage this boy was already required to show the world because of the harsh regular treatments he had to endure and unsure future he looked forward to.

As a student, I had extra time to spend with patients, and I quickly learned pediatric patients loved to play games. I played checkers with him to pass the time. When waiting for a doctor or for a treatment to end, it always seemed like the minutes stretched on for days. I never was very good at checkers and when he beat me for the second time in a row, I smiled and threw up my hands in defeat, “Why do I try playing against a master? You are just too good. Tell me your secrets!” He giggled and looked at me innocently while setting up the checkers for another triumph. We played until his mother got back from lunch, the treatment was over, and he had to leave. I waved goodbye and was rewarded with a blue smile – the product of a large sucker he was given.

I knew the things I had previously relied on to give me the credentials needed to survive nursing heartache and triumph day after day did not include a special insight into hospitalization. I wanted all the patients who were facing the unknown to know that although I had not experienced the many things they were dealing with, I did have something more than understanding: I had love.

Professor, Leader, Veteran, Nurse: Dr. Kent Blad

BOOM!

It was January 1991, during the Persian Gulf War. Another Iraqi Scud missile had just been knocked out of the sky by an American Patriot missile battery, a regular event given that Saddam Hussein’s forces were lobbing dozens of missiles at coalition troops. Some might have found the massive explosions unsettling—for military nurse Kent Blad, however, they ensured that he would sleep calmly that night, knowing that his odds of being hit by an Iraqi projectile were being significantly reduced.

Fast-forward twenty-six years to 2017, a year that marks two important milestones for Dr. Blad, now BYU College of Nursing associate dean. In June, it will be his 30th year as a registered nurse. Second, it is the end of his five-year term as associate dean, after which he will continue to teach as a professor. It will be one more transition in a career that has spanned decades and seen Blad serving everywhere from Provo to Saudi Arabia.

Interestingly, Blad didn’t start off studying nursing. He at first was majoring in pre-med to become an orthopedic surgeon. However, once he got married he started to have second thoughts about being a surgeon.

“When I got married, I figured I wanted to be married to this woman, not to a profession,” he says.

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Blad as a military nurse

His older brother was a military nurse, and his example helped Blad decide to enlist in the military and concurrently enroll in nursing school. He worked as a military operating room technician to pay his way, and once he had his degree he was made an officer. He served in Operations Desert Shield and Desert Storm, where he had the harrowing experience of listening to Scud missiles streak across the sky. However, he was not injured during the war and was able to serve his country faithfully.

Blad left the military two years after the Persian Gulf War ended, and by this point, nursing was in his blood.

“The more I got into it, the more I obtained a passion for it because I soon realized that not only is it a profession, but it’s a service profession where you spend your whole life serving others,” Blad says.

For ten years, he worked at the George E. Wahlen Department of Veterans Affairs Medical Center in Salt Lake City, primarily in critical care. He then enrolled at BYU to get his master’s degree, which opened up new, unexpected doors to him. Immediately upon graduation, he was offered a job to work in the College, which he accepted.

This was in 1999, and he describes the following years as “18 wonderful years, not without their share of challenges, but certainly with many, many blessings.”

The first few were spent teaching, until 2012 when Dr. Patricia Ravert, the newly installed dean, asked him to serve as one of two associate deans in the college. He accepted, undertaking the many responsibilities that come with being an associate dean.

“There was never a time that I was able to just sit around and stare out the window,” he says. Blad’s duties include supervising the Nursing Learning Center and the advisement center, distributing faculty assignments, managing the curriculum, and attending various university meetings, all on top of continuing to teach classes and contributing to the discipline.

One of Blad’s biggest pieces of advice to both faculty and students is to find balance, stressing the fact that nothing should come before their top three priorities, namely their family, their well-being, and their religion. He had to take his own advice in this new job, constantly evaluating his life to see how he could better prioritize his time.

Despite the difficulty of managing so many different tasks, there have been numerous positive impacts that Blad can see in the past five years, mainly due to the cooperation between members of administration and the College faculty.

For one thing, the College just passed its accreditation review with no negative recommendations. The Mary Jane Rawlinson Geertsen Nursing Learning Center was completed and is now running smoothly. Blad has also had the satisfying privilege of helping distribute increased scholarship funds to deserving students and helping coordinate teacher-student mentoring. The past five years have also seen a focus on promoting professionalism and courtesy among the faculty, which Blad says has created a wonderful working environment.

“That’s the thing I’m going to miss the most as a leader is that comradery and the love that you share with your peers,” Blad says. “We have tremendously excellent faculty. In my travels around the country, it is seconded by no other faculty in the US. We have the top faculty that can be put together.”

One of Blad’s biggest contributions to the College is also one of his biggest passions: treating veterans. Blad was the one who in 2005 recommended that one of the clinical practicums for the Public and Global Health nursing course be focused on treating veterans, and since then the program has become the leading program of its kind in the United States.

“It’s pretty special,” he says. “It’s a satisfaction in my career that is matched by nothing else.”

Outside of work, Blad spends most of his time either with family or as a bishopric member in a YSA ward. He and his wife have seven children, and eleven grandchildren. Now that he will have more time, he expects them to continue old family traditions like camping, hiking, and picnicking. Blad also enjoys doing yard work and gardening.

Help Celebrate the College of Nursing’s 65th Anniversary

 

To recognize the 65th anniversary of the Brigham Young University College of Nursing—established on September 29, 1952—we’re inviting all alumni and students to help celebrate. Since the influence of our program is known worldwide, we’re wondering, “Where will the college logo travel in the next few months?”

From now until September, we are asking our alums and students to do the following:

  1. Cut out/use the college logo from the 2017 college spring magazine (page 13) or print the image from above.
  2. Bring the logo with you on your journeys—near and far—this spring and summer.
  3. Take a photo of you, your family, or your friends with the logo in front of your favorite location.
  4. Post your images on Facebook or Instagram and use the hashtag #Ynursing52.

 

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Kaylee Hunsaker at National Institute of Health in Washington, DC

If you are not planning any trips, no need to worry. Snap an image in your backyard, community, or workplace. These photos will track all of the adventures and accomplishments of our alumni and students. We’re planning a display in the fall 2017 issue of the magazine, during Homecoming, and at the Scholarly Works Conference in October. To be considered for inclusion in the fall magazine, entries must be received by June 15; otherwise, photos are due September 15.

 

You don’t do social media? Email high-resolution photos (JPG file in original size) to nursingpr@byu.edu, or mail them to BYU College of Nursing, 65th Anniversary Celebration, 572 SWKT, Provo, UT 84602.

Let’s see how far our celebration can go! Who will take the logo with them? Stay tuned.

 

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Cory Paul (BS’17) in Antarctica