Braving uncertainty during uncertain times
Written by: Cassidy Toben, Assistant Nurse Manager, Emergency Department, Lenox Hill Hospital
Northwell Health is proud to spotlight our front line health care workers. See how Northwell clinicians – doctors and nurses – are responding and working on the front lines of the COVID-19 pandemic. Read their stories here.
Cassidy Toben, RN, finds a new niche as COVID-19 forces health care workers to shift roles
As an assistant nurse manager, I’m lucky to have the opportunity to inspire and motivate our nurses and staff, really coach them through their nursing journey. And during the COVID-19 crisis, my role has shifted, transitioning into even more administrative responsibilities.
I’m not always in the rooms with COVID patients, and there’s a sense of guilt that comes with that. Togetherness and camaraderie are built within nurses. It’s our calling — caring for another as if we are the patients we are restoring to health. Leading my team is also a calling, one that I’ve relished during this situation.
Since COVID-19 reached our doors at Lenox Hill Hospital, we’ve bundled care, limiting the number of people and trips in and out of patient rooms. What you might do in a few trips, you do all at once now.
On tough days, and there have been many, one of my nurses will need me to serve as a sounding board to vent about harrowing experiences, or to cry with them about a lost patient. Being this support system is critical to their well-being. We all share the burden and have a stake in this.
I went into nursing to save lives and to help people. But, you realize quickly that you can’t save everybody. That’s really humbling.
The scariest day during this experience came at the end of March. New York was just hitting its peak and COVID-19 patients arrived at alarming rates. One patient was talking to us and seemed pretty stable. About an hour later he coded. Everybody ran to his bedside. Then about 10 minutes after that, a patient on the other side of the emergency department coded — everyone ran to that bedside.
Then a third patient needed resuscitation.
I took a step back and, while watching every one race to the bedside, thought to myself, “Wow, the teamwork here is really inspirational.” The compassion that they showed to the patients, to each other, it eased my fears that day. We have each other’s backs and we support each other. We take care of our patients and we go home. Most of us go home alone. We don’t get to hug our parents. We don’t get to see our families. So, we’re really in this together.
But worry does come over the staff. Patients begin to remind you of your family — many times you’re acting as their family, with visitation suspended in hospitals. And then you worry about your own family, and then yourself.
(Deep breath)
My first symptoms started on March 26, a curious cough that would lead into fatigue and shortness of breath. My husband and I decided it would be safer to stay together than risk exposing anybody else in my family. Still, the thought of getting him sick caused so much anxiety that I started having nightmares. I dreamt that I got him sick and he was dying, because that’s what we were seeing each day. And any health care worker can tell you that they have that exact same fear. It’s not about me. I can handle me. But I don’t want to hurt the people I love.
After two weeks of being ill, I returned to work. I still struggle to sleep, but now it’s our patients that I worry about. It’s also really rewarding to see that our staff has risen above a lot of the challenges, remaining positive at every corner. So, even on days when I’m operating on little sleep, I come into work feeling like we can succeed. We are together and we’re going to get through it.
Luckily, the situation has improved — the volume in the emergency department has slowed. People are staying home, and we’re now on the right part of the curve. Devastation has turned into hope. We’ve lost a tremendous amount, people we know, grandparents, friends. So, we must remember those who are lost and work through each day with positivity.
In a time where it’s hard not to think about yourself and your family and worry about getting sick, people are still thinking about each other here. That is just absolutely incredible. It makes it all worthwhile, providing purpose and an unrelenting desire to help another.
That’s what nursing is truly about.
Cassidy Toben, RN, is an assistant nurse manager in Lenox Hill Hospital’s emergency department.
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The Spark! Challenge: Educating high school students for future healthcare careers
The 5th annual Spark! Challenge was larger than ever with 74 Northwell teams, and 900 students participating throughout the year! Students from high schools across Long Island, Staten Island, Westchester and New York City were able to directly experience and explore the wide variety of careers available in healthcare. By connecting students, educators, and Northwell Health professionals, the Spark! Challenge is helping to reach, engage and inspire students to consider some traditional and non-traditional healthcare careers.
We talked to Northwell team members who hosted students at their sites, as well as the teachers of the visiting schools to hear how the Spark! Challenge makes an impact on our students.
Emergency Services
Staten Island University Hospital (SIUH) – North Campus
At Staten Island University Hospital’s (SIUH) North Campus, students from St. Joseph Hill Academy participated in a mock trauma with life-like mannequins. After exciting tours of the OR and ICU, students also had the opportunity to meet and talk with the surgical team.
Jennifer Pla, St. Joseph Hill Academy teacher, was impressed by the engagement the students had with the doctors and nurses, “It gave students insight into the ongoing education that is necessary for healthcare practitioners to keep their skills sharp and improve patient care. The hands-on activities in the simulation lab allowed students to learn firsthand how difficult and technical these life-saving skills are to perform correctly.”
“The mock trauma scenario provides the ED staff with necessary simulation drills and the students love the realness of the mannequin,” says Anne Marie McDonough, senior director of Rehab Services at SIUH, “Students had an in-depth opportunity to talk with the trauma surgery staff, and they asked some fabulous questions!”
Syosset Hospital
Students from Mepham High School partnered with local EMS services for a demonstration of a distracted driver with an overturned vehicle. With help from the EMS team and Syosset staff, students extracted “patients” in a hands-on scenario, then toured the emergency department and ambulance.
“We had an amazing experience that started with a simulated car accident. The fire department actually cut a ‘driver’ out of the car and followed him through the emergency department,” says Peter Steckle, Mepham High School teacher. “Students got a chance to interact with doctors and healthcare professionals to perform tasks like casting and a laparoscopic procedure. It was an experience they will never forget.”
Debra Clifford, BSN, RN, MHA, director of Patient Care Services has participated in the Spark! Challenge at Syosset Hospital for the past three years, “The Spark! Challenge provides students an opportunity through hands-on simulation to learn about careers in healthcare and has opened pathways for students to volunteer with healthcare professionals, and pursue fields that they may not have previously considered.”
Culinary
Plainview Hospital
Plainview Hospital’s Spark! Challenge visit gave Bellmore-Merrick CHSD students an interactive experience in the Food & Nutrition Department. From culinary arts and menu design to clinical nutrition and planning, students received an introduction to the culinary world in healthcare before ending the day with a cooking competition.
“Nothing ever becomes real until it is experienced,” says Michael DiGiovanni, CTE teacher and chef instructor at the Culinary Hospitality Applied Management Program (CHAMP) at Bellmore-Merrick CHSD, “The lessons that our students learned from the chef, cooks, and nutritionists at Northwell made their knowledge of culinary arts real and enticing. The Spark! Challenge experience demonstrated the enjoyment and sensibility of this ever-growing industry.”
Eric Sieden, director of Nutrition and Food Services at Glen Cove, Plainview and Syosset Hospitals agreed, “Our Food & Nutrition team was so excited to be able to host and share their experiences with the culinary students. Through their interactions with the cooking staff, students were able to see how Northwell is providing nutritious-restaurant quality meals to a population that deserves and appreciates it. When I was their age, the Spark! Challenge is something I would have loved and definitely benefited from.”
North Shore University Hospital
At North Shore University Hospital, students from Baldwin High School learned about all of the different career opportunities that exist within nutrition and culinary. Team members led them in a tour of the department before challenging them to cook a healthy meal.
Donna Prager, the Family and Consumer Science teacher at Baldwin High School says, “The Spark! Challenge provides an amazing opportunity to gain hands-on experience in a hospital atmosphere. Students have benefited from interacting with professionals in the culinary and nutrition fields and has helped many students solidify their anticipated career path.”
“The Spark! Challenge is always a great day for our team and the students. We all look forward each year to see the future of healthcare in these passionate students. They get so invested in the cook-off that we host each year,” says Michael Kiley, director of Nutrition and Dining Services at North Shore University Hospital, “It is so gratifying to hear a student determine their career by this program, and we have been fortunate enough to have students tell us that because of the Spark! program they made the decision to go to culinary school. What more can you ask for?”
Hear from our students on why they love the Spark! Challenge:
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