Nursing: It’s Not What You Do, It’s Who You Are

It was almost nine o’clock on Sunday morning and Joyce DeZutti was running late. Along with her daughters Giovanna and Antoinette and her friend Andrea Skillman, Joyce had just enjoyed a weekend of pampering at the spa and was headed back to the airport. Suddenly, her limo slowed and swung out to the side, veering out of the way to drive around a car accident. Out the window, the women saw two vehicles, one looking banged up and the other flipped over completely. Joyce turned to her daughter and asked if she’d seen an ambulance at the scene. As Giovanna responded that she had not, Joyce immediately yelled, “Stop now!” to the limo driver, lunging toward the partition to get his attention.

“There was no way that limo was going by that accident,” says DeZutti. “Even if I had to go through that partition, we were stopping. There was no question. We were supposed to be there.”

A series of very fateful events brought Joyce DeZutti to that Hershey highway that morning. Joyce, a psychiatric nurse at Linden Oaks Hospital, was more than 700 miles away from where she lives and works in Naperville, Illinois. About two months earlier, she was randomly picked out of more than 6,700 entrants as the winner of the California Casualty ‘Give a Nurse a Break Getaway.’ The grand prize was a two-day trip to the Hershey Hotel and Spa in Pennsylvania, a relaxing reward and much-deserved break from the daily grind of nursing. That morning, Joyce was headed back to the airport after a weekend of pampering and relaxation. If things had gone according to plan, Joyce would have missed the accident altogether.

“We wanted to get an early start. So we were really trying to leave. But my friend Andrea does Florence Nightingale presentations and she had her full costume with her and wanted to have pictures taken before we left,” remembers DeZutti. “So we got the pictures and got delayed by quite a bit. By the time we got in the limo, we had been rushed a bit and I was a little upset.”

As it turns out, Joyce DeZutti was exactly where she needed to be at exactly the right time. First responders had yet to arrive at the scene when the limo pulled up to the accident. Joyce, who was supposed to be getting a break from nursing life, suddenly felt herself thrust right back into the action.

“I threw my purse at my older daughter and said, ‘Get my kit out.’ And I ran to the scene, hollering out ‘I’m a nurse and my friend is too,’” says Joyce. After double-checking that someone had already called 911, she ran over to the flipped car. “I could see there was a woman hanging upside-down by her seatbelt. She was awake. I talked to her and said, ‘I’m Joyce and I’m a nurse.’”

The driver, an elderly woman, told Joyce she was having trouble breathing. The car smashed in around her and glass littering the asphalt, her seatbelt and coat making it difficult to breathe. So Joyce crawled in beside her.

“I had no problem getting in to her. I was laying on the ground next to the car with my hand reaching to her. She said she couldn’t breathe, which was no surprise with the angle her head was at,” recalls Joyce. “She had a big, heavy down pink coat, so I unzipped that and pulled her clothes away from her neck and put my hand on her chest and lifted up so she could lift her chin and she could breathe. I held her like that and just talked to her, holding her hand.”

While Joyce was worried about the patient, her daughter Giovanna was standing nearby worrying about her mother. Joyce had severely injured her arms while working with the horses she uses as therapy for her patients. Surgeries over the years had left pins and plates in her arms.

“I knew she could get hurt, too,” says Giovanna. “I have no doubt that if my mom didn’t have this problem with her arm, she could do it just fine because she’s a strong lady- mentally and physically. But I was concerned about her hurting herself and her being home and being in a lot of pain.”

But the adrenaline kept Joyce’s attention away from her own pain and focused on the patient. The woman asked Joyce to call her niece and asked if anyone else was hurt. As Joyce’s daughter Giovanna called the victim’s niece, firemen arrived at the scene. Meanwhile, Skillman, who works as nurse at the VA, explained to Joyce what was unfolding around her.

“It was like a Code Blue situation. Everyone has a job. I look back at what Joyce and I ended up doing, and it was sort of the same thing,” says Skillman. “She was doing the direct care and I was scoping out of the area and letting her know what the firemen were doing.”

A firefighter took Joyce’s place supporting the woman and Joyce slipped back out of the mangled car. But she wasn’t leaving.

“I said ‘I’m going to stay until they get her out of there,’’ remembers DeZutti. “I couldn’t leave not knowing. So I stayed.”

As firefighters used the “Jaws of Life” to cut away the passenger side of the car, a man in his fifties or sixties walked up to Andrea.

“He hands me a card of phone numbers to call and I grabbed the card, thinking they must be the patient’s phone numbers. He said they were and walked away,” says Skillman.

The man was the driver’s son. At the time, no one realized he had actually been in the car at the time of the accident.

“I asked if that was his mother and he said yes and that he was in there. He told me he had a seatbelt on. And a bystander confirmed he had helped get the man out of the car,” says DeZutti. So she went back into nurse mode. “I started talking to him really gently and I told him I was a nurse and wanted to check him. I did a head-to-toe and didn’t find anything tender and everything seemed fine.”

Firefighters put both occupants of the rolled car, the woman and her son, in C-collars on backboards and loaded them into the ambulance. But not before Joyce offered her final words of comfort.

“Joyce said she wanted to talk to her now that she was out of the car,” says Skillman. “But this patient was what my husband, a fireman, calls a ‘load and go.’ You don’t stick around. You put them in the ambulance and take off.”

So Joyce seized her moment, captured in this picture…

Photo Courtesy of Giovanna DeZutti, 2012

“I went to her and told her that her son was okay and that he was going to the hospital also to be checked over,” says DeZutti. “I said we had left messages with her family of where she was going to be.”

Joyce was the perfect person to pull up to the scene. A nurse for more than 30 years, she put herself through school by teaching  taught EMTs and worked in a Trauma 1 Center and ICU.  But to her daughter, Giovanna, up until that day she’d just been Mom.

“I’ve never seen my mom like that. My mom is my mom. My mom’s not a nurse to me,” says Giovanna. “But it was exciting watching her do it, because I’d never seen her doing anything like that. I’d seen maybe a call or two for a patient who was out of control, but this was totally different. It was a ‘bringing her back to the Emergency Room’ type of thing. She knew exactly what to do and what she was going to do ahead of time if this wasn’t working or that wasn’t working. It all came to her so fast. I could never do that. It was amazing. I see her more of a hero, now that I’ve seen her in action.”

But for Joyce, heroic action like this is the norm. This isn’t even the first time she’s stepped in to help an accident victim. When her kids were young, Joyce stopped to help another woman who was trapped upside-down in a rolled vehicle. She once witnessed a police officer get struck by a vehicle while directing traffic. She stopped to help him, too.

This story says something about nurses. We can try to give them a ‘break’ from their jobs. But stepping in and taking action to save lives is not just a part of their jobs. It’s a part of who they are.

Here’s where we need your help. When Joyce told us her story, we told her we would help her find out what happened to the woman and her son. But without knowing even the woman’s full name, although we believe her first name might be Jane, we’ve been unable to find her and check on her. If you know anyone in Pennsylvania, please pass Joyce’s story along and help us help this hero. After all, we figure it’s the least we can do to say ‘Thank You’ to this heroic nurse, Joyce DeZutti.

Do YOU know a Nurse, Firefighter, EMT, Peace Officer, or Educator Hero? Tell us about them!

To learn more about the Give a Nurse a Break Giveaway, click here.

 

Pictures from the Accident, The Hershey Spa, and the women in Washington D.C.:

All photos courtesy of Andrea Skillman and Giovanna DeZutti, 2012.

At Home: A Guest Blog from Rescue Cpt. Michael Morse

It was weird watching Hurricane Sandy through my front window rather than through the windshield of Rescue 5. It seems as though every major storm that passed through New England over the last twenty some odd years waited for me to start my tour. Sad truth is, I liked that just fine. It’s easy being alone during bad weather, even if the job you are doing is hard. This time, things were different; I had to ride it out at home.

Being home and helpless is difficult. As the winds picked up velocity and the branches of the trees, and the trees themselves shook, and shattered and fell to the ground I could do nothing but watch. My window was as close to the action as I would get, and I was not all that crazy about standing too close to that window! I found it difficult to sit still and watch things go flying by, but there was nothing I could do to change what was happening.

Nature’s fury is a little less intimidating thanks to advances in technology. By pressing a button we are able to track a storm, know when it’s coming, when it’s going, how much rain to expect, how strong the winds will be, and a whole bunch of other information like barometric pressure and things like that that mean absolutely nothing to me. What did matter was the fact that I knew that this too would pass, and the lights will come on, and hopefully stay on, and life will return to normal. This confidence in our ability to weather a storm is a luxury only afforded the most recent generation, prior to us people hunkered down when the wind blew, hopeful it would end, but not knowing if things would get worse before they got better.

Maybe things were better that way, and some fear was instilled in humanity. Humility and appreciation seem much more appetizing when not sure if at the next moment everything could end, or be forever changed. Alas, humility has never been my strength, and as I watched the chaos outside of my window I knew it would all be over soon. The TV told me so.

I’ve often said that it’s our families that deserve the credit when we are out doing our thing, but I never really believed it. I thought I believed it, and if questioned would vociferously defend that statement, but as the windows shook, and more branches fell, and another tree succumbed to the eighty mile an hour gusts, and my heart pounded a little harder than I thought possible, and I contemplated calling 911 to report trees in the wires, I realized just how much I had taken the family I left behind for granted. I was nervous, and worried, and it was not a feeling that I’m used to. My family was used to it, having been left alone during emergencies for years.

I enjoy nothing more that being called to action, and braving the elements while responding to some emergency or other. It’s an adrenaline rush like no other, fighting natures wrath on the way to save some poor soul from whatever predicament they find themselves in. Even the most wildly lived lives consist mostly of boring routine, and the chance to challenge the elements and make a difference and break the monotony  is one I live for. Losing myself in an emergency is easy, and life affirming, and an enormous ego boost.

It’s a wonder I can even fit my head through the doorway of our home, where I weathered this storm, miserable, knowing that I was missing all of the fun.

And my wife stood by, busy with her routine, comfortable in her place, batteries ready, candles where they needed to be, dinner for days prepared, ice in the cooler, crossword puzzle books and some games next to the battery operated radio.

She was prepared. I was not. Somewhere in my thick skull the notion that I was above commoners in terms of severe weather readiness resided. Let the hurricanes, blizzards, heat waves, tornadoes and earthquakes come; I am ready, willing and able to respond to those emergencies! But prepare for them? Not even close. Preparation is dull, part of that 90% monotony called life. Preparation for things that “might” happen is far different than responding to things that “did” happen.

In my arrogance I failed to allow myself to live a moment in my families shoes. It is frightening enough to be at the mercy of the elements, hoping that the walls keep the weather out, and the basement stays dry, and the roof remains in place. Hunkering down during a storm is highly underrated. It takes more courage than I ever imagined, and I cannot begin to imagine one of us being out during the worst of it. I honestly don’t think I have what it takes to keep the home together, and stocked, and prepared. Sure, I can put beer in the fridge, and get cans of tuna and a manual opener, but can I keep my emotions in check when the house is shaking and the person I love is not there?

Being prepared is harder than responding. True strength of character is necessary, as well as leadership, courage, and faith. Anybody can take care of things after they happen, waiting for and being ready for anything that might happen, and doing so when you are terrified and your other half is gone takes a special person.

Storms will come, and storms will go, and each one is different in its intensity and potential for inflicting damage. Hurricane Sandy was a doozy, blazing a path of death and destruction through the eastern states. Truly heroic acts were performed by our first responders, and I watched the events over and over on my TV, proud to be part of that world, all the while humbled and awed by the heroes under my own roof.

________

EMT & Firefighting Guest BloggerCaptain Michael Morse is a Rescue Captain in the Providence Fire Department’s rescue unit and author of two books: “Rescuing Providence” and “Responding.” His blog was voted the winner of the 2012 CalCas Battle of the Blogs ‘Top Firefighter & EMT Blog.’ Cpt. Morses’s books & blog are great resources for EMTs and Firefighters- full of advice, news briefs, and day-to-day insider stories. To learn more about Captain Morse, check out our interview with him!

 

Preparing Your Car for Winter

It’s time to face the music. Halloween is over, daylight savings has passed, November is here and…

Winter is coming. 

It’s time to stock up on Sweaters, crank up the furnace, and last but certainly not least…

Prepare your car for the winter season. 

Around here, we’re all about safety preparations.  A few simple steps and check-ups could help keep you, your family, and your car safer this winter.

Recommended Winter-Specific Maintenance:

  1. Check your antifreeze: Antifreeze is essential for your car’s winter protection. Make sure the level is full and that the mixture is close to 50% water and 50% antifreeze.
  2. Inspect your tires: Winter conditions often result in slick or icy roads. Your tires are your last defense. Make sure you have checked your tread depth. The National Highway Transportation Safety Board says you need at least 2/32″ of depth to be safe. Also, be sure to check tire pressure. 
  3. Replace your wipers & check wiper fluid: Make sure your wipers can handle any snow, water, or sleet that falls on your windshield. Also make sure that you have plenty of windshield washer fluid- as you’ll be using plenty over the winter months. Don’t fill your washer fluid reservoir with anything except washer fluid.
  4. Stay on top of maintenance procedures: Before winter hits is the perfect time to make sure you’ve taken care of annual maintenance. While car trouble is a bummer ANY time of the year, it can be especially complicated and frustrating in winter conditions. Avoid the stress: Make sure you’ve inspected, checked, or cleaned your car’s:
    1. Battery and battery posts
    2. Engine oil
    3. Brakes and brake fluid
    4. Spark plug wires
    5. Radiator
    6. Ignition
    7. Emergency Flashers
    8. Exhaust
    9. Defroster
This list is a good starting point. To be sure that your car is in the safest-possible working condition before winter hits, take it to your mechanic. 

The National Safety Council recommends stocking your car with the following items in case of an emergency:

  1. A properly inflated spare tire, wheel wrench and tripod-type jack in case of tire issues
  2. A shovel
  3. Jumper cables in case of battery issues
  4. A bag of salt or cat litter for icy or slick road conditions
  5. A basic tool kit
  6. Working flashlight and extra batteries
  7. Reflective triangles and brightly colored or reflective clothing
  8. Compass
  9. First aid kit
  10. Exterior windshield cleaner
  11. Ice scraper and snow brush
  12. Wooden stick matches in a waterproof container
  13. Scissors and string/cord
  14. Non-perishable, high energy foods like unsalted canned nuts, dried fruits, and hard candy
  15. Items to keep you warm, such as heavy mittens, blankets, socks, sweatshirts and a hat

Happy Winter! Be safe out there!

Halloween Safety!

It’s almost Halloween! 

Halloween is one of my all-time favorite holidays. I love all the planning, decorating, and carving… and of course the pumpkin seeds.

But in the excitement over costumes and candies, it’s easy to forget Halloween Safety

Whether you’re headed out with the trick-or-treaters or manning the door to pass out candy at your home, we’ve put together some safety reminders:

For trick-or-treating with children:

  1. Make sure all swords, play knives, or similar costume accessories are soft, short, and flexible
  2. Never let children trick-or-treat alone.  Make sure they are walking in groups with a trusted adult.
  3. Map out a safe route with your kids so you know where they will be
  4. Set a designated time for them to return home or check in with you
  5. If you are trick-or-treating with children, make sure you have enough other adults with you to keep a headcount as you go
  6. Fasten reflective tapes to costumes and bags to help drivers see trick-or-treaters – the brighter the costumes, the better!
  7. Attach your child’s name, address, and phone number somewhere inside their costume
  8. Look both ways before crossing the street!
  9. If possible, cross at a crosswalk or a corner. If traveling with a group of trick-or-treaters, have them link hands when crossing
  10. Try to walk on sidewalks as much as possible. If you have to walk along the edge of the road, stay as far to the edge as possible and walk facing traffic
  11. Carry a flashlight with you—and give one to each child–to help you and others see
  12. Encourage kids to walk from house to house, never run
  13. Check to make sure kids are wearing well-fitted masks (or better yet- face paint!), costumes and shoes to avoid tripping or blocking your vision
  14. Check over treats before letting kids start eating them- check to make sure they are still commercially wrapped and not tampered with and that they do not present a choking hazard
  15. Always test make-up in a small area first to check for allergies before applying it to large areas like the face. Be sure to remove all makeup before bedtime to prevent skin and eye irritation
  16. Remind kids:
    1. Enter homes only if you are with a trusted adult.
    2. Only visit well-lit homes
    3. Never accept rides from strangers
    4. Never walk near lit candles or luminaries. Be aware of tails, long trains, and other dragging costume accessories when near jack-o-lanterns or other decorations with active flames.
    5. Harmless pranks are often a part of Halloween. Make sure you explain that while you want them to have a good time, some tricks could hurt other people or vandalize property
  17. Provide kids with a substantial, healthy meal to help cut back candy consumption

To prepare your home for trick-or-treaters

  1. Make sure the outside areas of your home, especially the walking area and stairs, are well-lit and free of obstacles
  2. Be sure to turn on all your exterior lights
  3. Keep candle-lit jack-o-lanterns and luminaries away from doorsteps, walkways, landings, and curtains. Place them on sturdy tables, keep them out of the reach of pets and small children, and never leave them unattended. Use battery-operated candles in any outdoor or child-accessible decorations
  4. Drive slowly all evening!
  5. Keep pets away from the door so they don’t scare—or get scared by—trick-or-treaters.
  6. Report any suspicious or criminal activity to your local police or sheriff’s department
  7. Make sure you do not pass out candy that is a choking hazard to younger children

Have a Spooky, Scary, and Safe Halloween!

Bullying Prevention

It’s October! Aside from the month of changing leaves, spooky Holidays and falling temperatures, October is also…

National Bullying Prevention Month!

 

In the last several weeks, several bullying-related stories have been making waves in national headlines.

There was the high school student whose Homecoming nomination turned out to be a malicious prank, the TV news anchor whose weight became a national story, the blogger whose fear of a vicious blog ‘troll’ drove him off the Internet, the list goes on…

But each of these stories also highlights a growing trend on our national response to bullies. Rather than join in on the criticism, we have come together to say that this behavior will not stand.

The community rallied around that Homecoming Queen, cheering the high school girl on as she took the Homecoming stage looking gorgeous and confident in her red dress. We wrote hundreds of letters to that TV anchor, reminding her that she is so much more than her weight. We applauded the blogger for not only confronting the teen who made him fear for his life, but for forgiving him.

And it wasn’t just us who took a stand. It was the victims themselves. Rather than let those bullies get away with their behavior, they spoke up. And then they spoke outThey sounded the alarm that this behavior was going on, then they stood up for themselves.

When Leo Trayner, a blogger in the UK, met the 17-year-old man who had threatened his wife and family, he had this to say to him:

Look at me. I’m a middle-aged man with a limp and a wheeze and a son and a wife that I love. I’m not just a little avatar of an eye. You’re better than this. You have a name of your own. Be proud of it.

And you know what? His story went viral. 913 people commented on his story, applauded him for his bravery and thanking him for speaking up.

When Whitney Kropp, the 16-year-old who was nominated for Homecoming Queen as a cruel joke, spoke of her abuse, she told other victims of bullying:

Stand up for what you believe in and go with your heart and go with your gut. That’s what I did, and look at me now. I’m just as happy as can be! I can just prove all these kids wrong … I’m not the joke everyone thinks I am.

And Jennifer Livingston, the news anchor attacked for her weight, had this to say–on air–to every single person who has ever been hurt by the words of others:

To all of the children out there who feel lost, who are struggling with your weight, with the color of your skin, your sexual preference, your disability, even the acne on your face, listen to me right now: Do not let your self-worth be defined by bullies. Learn from my experience — that the cruel words of one are nothing compared to the shouts of many.

These three brave individuals teach us so much about bullying. They show that:

  • Bullying affects people of all ages and types
  • Victims of bullying are not alone
  • Victims of bullies have nothing to be ashamed of– it is the bullies who bare the blame
  • Standing up and speaking out will help not just you, but all of us, overcome bullying
  • Bullies do not define who we are. We do.
  • Standing up to bullies is hard, but once you do, you’ll have your community behind you for support

Bullying is a national issue. It’s not a teen issue, a school issue, or an Internet issue.

It’s an everyone issue. 

We’ve made progress, but we still have a long way to go. There are still people out there–of all ages, from all walks of life–that deal with bullies every day. We still have victims of bullying who suffer in silence.

So this National Bullying Prevention Month, may we rise to the challenge. May victims of bullying everywhere feel the courage and support to stand up and speak out. And may we stand up to support and heal them when they do.

For resources on how to address bullies, click here. 

 

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