Vianis Raine
March 2024
Vianis
Raine
,
RN-BC, BSN
Medicine, Ellison 12
Massachusetts General Hospital
Boston
,
MA
United States

 

 

 

Vianis took into consideration the family’s cultural beliefs and was able to empathize with everything they were experiencing. Once the med flight team arrived, Vianis assisted the bedside nurse with the hand-off report. The patient had a successful transfer and had his wishes met to go home to Kuwait next to his family and loved ones.
I am writing this letter on behalf of Vianis Raine, Registered Nurse on Ellison 12, with whom I have had the pleasure of working for the last eight years. If I were to describe Vianis as a nurse in a few words, I would have to say attentive, compassionate, competent, dedicated, and efficient. She arrives to her shift early, does a thorough look-up on all her patients, and asks appropriate questions during nursing handoff. 

The most recent interaction in which Vianis went above and beyond to provide excellent care to a patient was in her role as clinical coach. There was a patient on Ellison 12 who had presented from Kuwait to Massachusetts General Hospital for a second opinion on his lung cancer. Originally, the patient was alert, oriented, and completely independent on admission. Over the span of a few months, the patient was transitioned to comfort measures only. The patient and family were adamant that the patient’s wishes would be to return to Kuwait and pass at his house near his loved ones. Some of the barriers to discharge included the patient being on high-dose continuous intravenous Dilaudid infusion, high-dose IV Methadone, IV Ativan, and IV Keppra. In September, the team was made aware the patient was being discharged back to Kuwait and the med flight was booked.  On the day of discharge, Vianis was the clinical coach on Ellison 12. Vianis worked alongside the bedside nurse, attending nurse, case manager, responding clinician, and pharmacist to ensure it was a safe and smooth transfer for the patient.

The first barrier was the patient needed to be discharged with 24 hours of medications. Vianis worked with the bedside nurse and responding clinician to come up with a safe plan to give the patient the medications. The second barrier was the patient was on high-concentration IV Dilaudid infusion. For a period of 24 hours, the patient required 2 bags or a total of 100 mL. Vianis was able to pull up the hospital policy and talk to the floor pharmacist to see if there was anything that could be done to accommodate the patient’s needs. Vianis was successful with her request. Once Vianis knew the transfer was going to happen, she stayed by the bedside nurses’ side and the family to provide emotional support and care. Vianis assisted with cleaning up the patient, packing belongings, and answering all questions the family had. Vianis took into consideration the family’s cultural beliefs and was able to empathize with everything they were experiencing. Once the med flight team arrived, Vianis assisted the bedside nurse with the hand-off report. The patient had a successful transfer and had his wishes met to go home to Kuwait next to his family and loved ones.

It is always a breath of fresh air having Vianis around, it is guaranteed both the patients and the staff will be well taken care of. Her expertise and personality make her a wonderful and exceptional addition to the Ellison 12 staff and Vianis is deserving of being recognized.