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The Power of the Human Spirit

The deadliest hurricane in U.S. history, in one swift motion, Hurricane Katrina swallowed New Orleans and ravaged much of the surrounding area in late August 2005. The devastation, physical and financial, occurred thousands of miles away from the Philadelphia region. Yet for UPHS nurses, the call to reach out, to provide care, to save lives and lift spirits, was strong.

An Immediate Response
It started with CNN – the pictures were too much for Lori Bokelman, RN, BSN Hospital of the University of Pennsylvania (HUP). Dehydrated children. Abandoned men and women in wheelchairs. Nurses working around the clock. Bokelman knew she could help. “Getting to the Gulf Coast became an immediate goal. One I had to achieve,” she says. “I called the Red Cross and they scheduled me for a training session the next day.”

Worried about the impact leaving her position as a nurse at the Hospital of the University of Pennsylvania might have on her personally and professionally, Bokelman called her Nurse Manager. “The hospital not only briefly relieved me of my responsibilities but paid me for the three weeks of time I spent as a nurse for the Red Cross in Louisiana,” she says.

Other UPHS nurses also note the support they received at home made a difference in their ability to bring their skill and knowledge to those devastated by the hurricane. Cate Paxson, RN, Penn Home Care and Hospice, joined Hands On, the U.S.-based affiliate of Hands On Worldwide, a volunteer-staffed, non-profit organization dedicated to timely disaster response and relief.

Paxson left with a group of 40 volunteers who were told they would face hardship conditions, including no running water and no electricity. “I only volunteered for one week and I'm still not sure what impact it's had on me,” says Paxson, “but I know being able to go without worrying about my job at home made a big difference.”

Facing Hardships
“The conditions we were told to prepare for were quite genuine,” says Tonja McGill, RN, Pennsylvania Hospital. “My first living quarters were in the FEMA tent city. There were more than 15 tents with about 100 cots in each. We had trailer showers and 150 port-a-potties lined up against one wall.” McGill was assigned to serve on a postpartum/medical-surgical unit in Lafayette, LA, 120 miles west of New Orleans. The city had experienced an influx of evacuees and local medical personnel were in great need of relief. About 30 volunteers including McGill worked 12-hour shifts at the hospital.

Even on her assignment in Montgomery, AL, Paxson saw devastation. “Most of the people we saw were very poor but had managed to get to some accommodations during the storm,” she says. “Now, though, they were without money and many were sleeping in cars. Those who had houses were often without roofs and most of the shelters were full. We were told on the way there that patience and flexibility were the virtues of the day.”

Many of the nurses who traveled to this devastated region noted the eeriness they felt in the once raucous New Orleans. “The first thing I noticed while driving across the bridge into the city was that the tops of the trees were missing,” says McGill. “Driving through all of the debris covered streets was like driving through the city of the dead.” Bokelman felt it too. “Shops were closed, homes boarded up and no people were around,” she says.

Bokelman helped to set up a fixed distribution and aid site for the community each day in an area of New Orleans called Algiers. “We had no idea what to expect when we first opened our van doors to a line of people all the way around the block. But as nearly every person embraced us with a thank you and tears of relief, we quickly fell in love with the people of New Orleans and knew we had to do everything we could to help them.”

Helping Our Own
And, it wasn't just the residents of New Orleans and the surrounding areas that were on our nurses' minds. Many were worried for the health care professionals left behind. “One of our greatest concerns was for our fellow nurses who were still working in the areas hit by Katrina,” said Ann Phalen, RN, PhD, Clinical Nurse specialist in HUP's Intensive Care Nursery. “We kept seeing TV images of them having to hand-ventilate patients – can you imagine having to handventilate patients for up to 24 to 36 hours straight?” Hand-ventilating requires the continuous manual operation of an airbag in order to maintain the flow of life-saving oxygen into a patient's lungs.

According to Phalen, when the ICN first got the call from UPHS Administration to send volunteer nurses to help triage evacuees expected to arrive later that day at Philadelphia International Airport, the response was so overwhelming that they had to quickly organize a lottery system to select the nurse (Kristy Kennedy, RN, BSN) who would be permitted to go.

Many others on the unit – Kate Pocius, RN, Sandy Rodgers, RN, MSN, CRNP, Sunny Bernardo, RN, MSN, CRNP, and Molly DeCock, RN, BSN, – volunteered portions of their weekends and days-off to assist in any way needed.

Although she didn't travel to the region, HUP Nurse Diane Leichter, RN, BSN, CAN, mobilized to help the people devastated by Hurricane Katrina. “The nurses who joined the Red Cross came home with extremely moving stories about the devastation,” she says. “One of the new nurses on our unit is from that area and we suffered along beside her as she worried about her parents and her community.”

Last December, when it came time to plan their holiday decorations, the unit decided to use the spirit of New Orleans as their theme. Their efforts paid off – the unit won the hospital's holiday decoration contest and unanimously decided to use the money to help a fellow nurse. “We called a hospital in New Orleans and asked for the name of a nurse we could help,” says Leichter. The nurse they chose was pregnant, due in January, had an 8-year-old daughter and had lost her home to the hurricane. With her name and their sights set on their goal, the nursing unit raised more money. “We also collected three large boxes of gifts and necessities and we sent everything to this family,” says Leichter.

These acts of courage, compassion and expertise are at the heart of nursing. Perhaps Penn Presbyterian Medical Nurses Tonette Moore, RN, BSN, and Kristine Chestnut, RN, say it best: “Nurses treat the whole person, physically, mentally and spiritually.”

Moore and Chestnut both traveled to New Orleans over Thanksgiving and worked closely with the Red Cross and FEMA. “We saw people returning to their homes for the first time. When there is no one and everything familiar to you is gone, someone just walking up to you or being there with you to listen, talk or provide prayer can make all the difference,” they say. “The residents were grateful to know that someone cared.” Yet, our nurses didn't just care, they had the guts to go into a war zone at great risk to themselves in order to share their skilled knowledge and technical and nursing expertise.

 


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