April 2023
Kristen
Pangborn
,
RN
5 South
Holy Cross Hospital - SS
Silver Spring
,
MD
United States

 

 

 

It was Kristen's attention to detail, listening to the patient and their wishes, and checking everything at the last minute to make sure it was all in place properly that prevented a potential disaster.
I was brought to the ER at Holy Cross Silver Spring from Holy Cross Germantown with a pathological fracture of my right femur. I wasn't admitted to the hospital until midday. Once I was brought to the room, my nurse was Kristen. I was inundated with numerous things and in severe pain. She got things organized and made me comfortable and focused on the schedule, which would lead to surgery later that evening. The reason for nominating Kristen is all that they did during the day but specifically what happened as I was being brought down to surgery that evening. During the day, they stopped in several times to check on me, talk, and explain what was happening. They ascertained that we had advance directives and would like life-sustaining treatment applied. When it came time for me to be taken from the room to surgery Kristen was there reviewing the record even though it was slightly after their shift ended. In their review, Kristen noticed that there was a DNR on the record. It had been put there just a half hour before by a doctor from Kaiser whom I didn't know. They froze everybody from OR transport in the doorway and asked my wife and me if we wanted this DNR. We said no. They immediately got on the phone and tracked down the supervising doctor for Kaiser. The doctor who put in the DNR wasn't there, but they were able to track down a senior physician and correct this in the record within 15 to 20 minutes. They made everybody wait until this was done, and they could see it corrected on the electronic record in front of them. When they were able to see that the DNR was removed, they showed it to my wife and me. I had been in hospital administration decades ago, and I know it took a lot for them to halt everything until this was corrected and they could see it corrected. Then and only then did they release me down to the OR. It was their attention to detail, listening to the patient and their wishes, and checking everything at the last minute to make sure it was all in place properly that prevented a potential disaster. This was above and beyond because it seemed that since I was going to surgery, everything should be correct. They made no such assumption and reviewed the record themselves before releasing their patient from the room. This is what nursing is all about. This is a clear example of what a patient-centric model is and why nursing is the gatekeeper of that model. Kristen illustrates the highest level of care, detail, and duty in nursing. If not for them, something might have slightly gone wrong during surgery, and with a DNR in my record, I may not have been able to write this as I wouldn't be here. This is an exceptional nurse in an exceptional situation, which I think is the norm for them as a mode of operation.