Barbara Hamilton, RN • Home Care • Winchester (Mass.) Hospital
Barbara won the DAISY Award for Extraordinary Nurses after a patientís sister nominated her because she showed "incredible calm, patience, respect, commitment and caring" toward her sister and her sisterís companion.
In the nomination, the woman wrote how thankful she was to have Barbara there to convince her ill sister and her companion to go seek treatment at the hospital.
"They could not have been more fortunate in having had nurse Hamilton advocating for and assisting them," the woman wrote.
Josh does research on the best evidence-based practices and shares them with the CICU staff.
He also is a strong patient advocate, but thatís not the main reason for his nomination.
It was because of the special bond Josh developed with an elderly patient who was in CICU for months.
His nominator watched "as Josh went above and beyond patient care.
Josh played cards with her every night. He made a cake to celebrate her birthday.
And then came the ultimate surprise one night when Josh put the patient in a stretcher chair and took her for a stroll through the hospital — ventilator and all.
Josh is an inspiration to his colleagues and a role model in his nursing duties.
Ann was working as a department float RN when a patient came into the ED through triage. The patient had no family and was brought in by a neighbor. The patient was confused and was covered in dry stool from his midback to his knees, and his clothes were dirty and saturated with urine. His beard was matted with food, and he had terrible body odor. Ann took the time to bathe this patient from head to toe. She washed his hair and shaved his beard. She was unable to salvage the patientís sweatpants and shirt, and they had to be thrown away. The patient was upset because he did not have many other items of clothing at home.
Ann reassured the patient that she would see he had replacements. Ann used funds from the Pay It Forward program to purchase new clothes for the patient to replace the ones she had to throw away. She also took his coat and shoes and laundered them before returning them to the patient the next day before he was discharged from the hospital. This is just one example of the amazing things Ann does for her patients. She shows kindness and compassion to those in need and goes above and beyond.
Deborah demonstrated compassionate and exceptional nursing care to one of her co-workers in the Emergency Center. She was concerned her co-worker had not been feeling well and encouraged her to be seen as a patient in the Emergency Center. It was discovered the co-worker needed to be admitted to the hospital for further testing related to having blood clotting issues. After discharge from the hospital, Deborah stayed with her co-worker at the co-workerís home to ensure that she was OK. Deborah continued to show her care and nursing compassion outside of the work area. Even though the co-worker had been discharged from the hospital, Deborah continued to be concerned with her overall health status. When Deborah returned to work in the Emergency Center, she sought out a physician and colleague for a second opinion. The physician requested Deborah bring her co-worker back to the Emergency Center where he could evaluate her further. Her friend and co-worker was admitted and placed in the ICU for further evaluation and treatment. During her co-workerís hospital stay, Deborah stayed with her co-workerís family in the ICU waiting room helping them through this difficult time. The patient said, "Because Deborah went above and beyond what she was required to do, she gave me my life back!"
Sura has been an important part of our ED team for a while now and also works in the ED at the Childrenís Hospital of Philadelphia. Her quiet mannerisms make her blend in with the crowd. However, she does not blend in where her patients are concerned. When she was working in the trauma bay, a patient with multiple gunshot wounds was brought in by police. The trauma team gathered awaiting the arrival and mass chaos as police drop-offs always are. Sura was on a different assignment and was orienting a new employee. The charge nurse that day went out to the driveway to assess the situation when the police car slid into the driveway. As the back door of the car opened, an injured man held up a wide-eyed small child and handed him to the charge nurse, who immediately called Sura to the trauma bay to assist and put her specialty training to work. This small child was shot in the abdomen; he was just 4 years old. Sura was able to provide excellent clinical medical care. She also provided the ever-important psychological care this little boy needed; he never cried, moaned or made a peep. Sura then was able to transport this patient to CHOP. The nominator was sure this little boyís family has no idea he was hugged and cared for by an excellent nurse. Sura made the nominator proud to be a nurse and aware of the vast experiences other staff members have.
Being in an ICU can be very stressful for both patients and their families. In January 2013, a patient had spent more than 30 days in the ICU. His wife spent many hours at his bedside all while keeping things running at home. One particular day the patient was scheduled for a procedure at 10 a.m. He was nervous, and his wife was unable to be with him because of work obligations. Tiffany understood how he was feeling, so after her 12-hour night shift she clocked out and went to his room. The patient had a tracheostomy so he was unable to talk, but Tiffany sat with him for three hours until it was time for his procedure. She stayed until it was over. A few days later, the nominator asked her why she did that, and she replied "No one should go through this alone." Tiffany inspires the nominator to be a better person. She truly cares about her patients and goes above and beyond her duties.
Adam was taking care of a 19-year-old young woman who had been admitted with severe pyelonephritis and septic shock. She was tachypneic with progressive tachycardia, altered mental status, hypoxemia and eventually hypotention. Adam called the eICU early in his shift to let the nominator know he was concerned about his patient who was septic and by multiple indicators was becoming less stable. Adam and the nominator worked together by phone and via the two-way camera for most of the rest of the night addressing blood pressure and volume status, starting BiPAP and eventually intubating and ordering and treating multiple abnormal labs. Adam took lead on all of this, speaking with other services when needed, and thinking clinically and staying one step ahead of events throughout the night. Although the situation was demanding and complex with multiple issues and even more orders coming his way, he calmly managed it all. By sunrise, his patient was stable, resting comfortably — a stark contrast to what might have been had he not been so vigilant. During the nominatorís last phone conversation with him when he finally was able to sit and catch up on paperwork, they reviewed "loose ends" including an order for SCDs. The patient became extubated, alert, hemodynamically stable and improving — thanks mostly to Adamís excellent care.