May 2019
Multidisciplinary
Troy
SICU and L&D
Beaumont Hospital - Troy
Troy
,
MI
United States
L&D Team
Danielle Sovey RN, Jennifer Zmijewski RN, Ashley Halsted RN, Amber Smith RN, Maria Walden RN, Maureen Hodge RN, Elizabeth Stojanovski RN, Sarah Swisher ST, Julie Maroulitsas CRNA, Kristy Kaminski CRNA, Patricia Connor NNP, Dr. Kahler, Dr. Kobold, Dr. Dela Cruz, Dr. Love, Dr. Millican, Corinne Sakyi CNM, Cheryl Harriss CA,
Amy D’Aristotile NICU RN
Anesthesia Team:
Steve Grindling (CRNA), Dr. Shelly Kahler (MDA) and Christina St John (anesthesia tech)
RRT: Rosanne Ritzmann RN, Kerrie Ruebelmann RN
SICU Team:
Jocelyn Miramonti RN, Alexandra Mercadante RN, Pawel Sroka RN, Nami Oya RN, Tamara Lindstrom RN, Micah Aguilar RN, Mohanie Bhajan RN,
Joseph Laszczak RN, Nicole Misch RN, Melanie Wilson RN, Stephanie Jackson RN, Eleanor Yabut RN, Sarah Sheretko RN, Jessica Rinaldi RN, Cristina Kljaic RN, Kimberly Prebus RN, Samantha Murray NA, Karen Renze CA, Ruth Brosig RN CNM
Nights on 5/31: Allison Schook RN, Amanda Avichouser RN, Mamica Lotsis NA, Jessie Dowden CA
SICU Trauma Physicians and Critical Care PA:
Dr. Peter Perakis, Dr. Patricia Pentiak, Dr. Kerry Kole, Dr. Nina Kolbe,
Virginia Aragona PA
Troy Nursing Supervisor: Regina Kaschalk RN
Interventional Radiology Team: Dr. David Blinkhorn, Kathy Sims IR Tech, Linda Shepherd IR Tech, Angela Dinnan RN, Sandra Pietila, CNM
Respiratory Therapists: Jamie Hamlet RT, Tracy Berg RT, Jessica Bastian RT, Daksha Patel RT
Danielle Sovey RN, Jennifer Zmijewski RN, Ashley Halsted RN, Amber Smith RN, Maria Walden RN, Maureen Hodge RN, Elizabeth Stojanovski RN, Sarah Swisher ST, Julie Maroulitsas CRNA, Kristy Kaminski CRNA, Patricia Connor NNP, Dr. Kahler, Dr. Kobold, Dr. Dela Cruz, Dr. Love, Dr. Millican, Corinne Sakyi CNM, Cheryl Harriss CA,
Amy D’Aristotile NICU RN
Anesthesia Team:
Steve Grindling (CRNA), Dr. Shelly Kahler (MDA) and Christina St John (anesthesia tech)
RRT: Rosanne Ritzmann RN, Kerrie Ruebelmann RN
SICU Team:
Jocelyn Miramonti RN, Alexandra Mercadante RN, Pawel Sroka RN, Nami Oya RN, Tamara Lindstrom RN, Micah Aguilar RN, Mohanie Bhajan RN,
Joseph Laszczak RN, Nicole Misch RN, Melanie Wilson RN, Stephanie Jackson RN, Eleanor Yabut RN, Sarah Sheretko RN, Jessica Rinaldi RN, Cristina Kljaic RN, Kimberly Prebus RN, Samantha Murray NA, Karen Renze CA, Ruth Brosig RN CNM
Nights on 5/31: Allison Schook RN, Amanda Avichouser RN, Mamica Lotsis NA, Jessie Dowden CA
SICU Trauma Physicians and Critical Care PA:
Dr. Peter Perakis, Dr. Patricia Pentiak, Dr. Kerry Kole, Dr. Nina Kolbe,
Virginia Aragona PA
Troy Nursing Supervisor: Regina Kaschalk RN
Interventional Radiology Team: Dr. David Blinkhorn, Kathy Sims IR Tech, Linda Shepherd IR Tech, Angela Dinnan RN, Sandra Pietila, CNM
Respiratory Therapists: Jamie Hamlet RT, Tracy Berg RT, Jessica Bastian RT, Daksha Patel RT
A story of amazing interdisciplinary teamwork.
A pregnant patient entered Beaumont Troy to have her second child. During the second night of her induction, tearful with the pain of her contractions, the patient called her nurse Danielle into the room and requested an epidural. Anesthesia placed the epidural, and Danielle remained in the room to observe her blood pressures. Danielle noticed a decrease in the baby's heart rate - not uncommon post-epidural. As a certified nurse-midwife, Corinne came into the room to place a fetal scalp electrode, the patient became nauseous. Dr. Millican arrived at the bedside. "I don't feel well," she said -- then became unresponsive. A STAT C-section was called and the baby was delivered 6 minutes later by Dr. Love.
The new mother went into cardiac arrest as her son was born. CPR was started and the Labor & Delivery team began a massive blood transfusion as the baby was taken to the NICU by NNP Trish Conner. Dr. Dela Cruz came to the OR to assist until Dr. Kobold arrived at the hospital. The team remained in the FBC OR for several hours trying to stabilize her vital signs and bleeding. She was then moved to the SICU, where she began to hemorrhage again.
With Alexandra Mercadante as her primary nurse, SICU nurses, surgeons, physician assistants, Rapid Response nurses, and nursing assistants worked as a team to administer emergency medicine. Regina Kaschalk, Troy Nursing Supervisor, ensured unit safety for other SICU patients and emergently notified the SICU manager. While all of this was taking place, NICU nurse Amy D'Aristotile brought Stephanie's newborn son to her bedside for perhaps the last opportunity for skin to skin contact with his mother. Every staff member empathized with this family and it was at this moment when this patient became family to all of us.
The patient was rushed back to OR at 7:30 the next morning and then, still bleeding and accompanied by the SICU team, to interventional radiology. Dr. Blinkhorn, working with Kathy Sims, Linda Shepherd, Angela Dinnan, and Sandra Pietila, isolated bleeding arteries and cauterized them.
Although the patient underwent multiple surgeries and remained intubated, SICU, and NICU nurses coordinated schedules for skin-to-skin contact with her son. During this time, she opened her eyes, grabbed her son, and pressed him against her cheek. The infant cuddled up to his mother where he fell asleep in her arms. Through the course of her month-long stay, the teams at Troy worked with the family to ensure that she would have optimal visitation with her children.
In the usual outcome, she would have died that night and her son alive with permanent brain damage. But she is back to her "normal crazy, busy life" as a mother to two healthy children. This outcome would never have been possible without Anesthesia, Labor & Delivery, SICU, physicians, respiratory therapists, interventional radiology staff, and nursing leaders working together -- one example of the compassion, respect, teamwork, integrity, and excellence that we experience every day at Beaumont Troy.
A pregnant patient entered Beaumont Troy to have her second child. During the second night of her induction, tearful with the pain of her contractions, the patient called her nurse Danielle into the room and requested an epidural. Anesthesia placed the epidural, and Danielle remained in the room to observe her blood pressures. Danielle noticed a decrease in the baby's heart rate - not uncommon post-epidural. As a certified nurse-midwife, Corinne came into the room to place a fetal scalp electrode, the patient became nauseous. Dr. Millican arrived at the bedside. "I don't feel well," she said -- then became unresponsive. A STAT C-section was called and the baby was delivered 6 minutes later by Dr. Love.
The new mother went into cardiac arrest as her son was born. CPR was started and the Labor & Delivery team began a massive blood transfusion as the baby was taken to the NICU by NNP Trish Conner. Dr. Dela Cruz came to the OR to assist until Dr. Kobold arrived at the hospital. The team remained in the FBC OR for several hours trying to stabilize her vital signs and bleeding. She was then moved to the SICU, where she began to hemorrhage again.
With Alexandra Mercadante as her primary nurse, SICU nurses, surgeons, physician assistants, Rapid Response nurses, and nursing assistants worked as a team to administer emergency medicine. Regina Kaschalk, Troy Nursing Supervisor, ensured unit safety for other SICU patients and emergently notified the SICU manager. While all of this was taking place, NICU nurse Amy D'Aristotile brought Stephanie's newborn son to her bedside for perhaps the last opportunity for skin to skin contact with his mother. Every staff member empathized with this family and it was at this moment when this patient became family to all of us.
The patient was rushed back to OR at 7:30 the next morning and then, still bleeding and accompanied by the SICU team, to interventional radiology. Dr. Blinkhorn, working with Kathy Sims, Linda Shepherd, Angela Dinnan, and Sandra Pietila, isolated bleeding arteries and cauterized them.
Although the patient underwent multiple surgeries and remained intubated, SICU, and NICU nurses coordinated schedules for skin-to-skin contact with her son. During this time, she opened her eyes, grabbed her son, and pressed him against her cheek. The infant cuddled up to his mother where he fell asleep in her arms. Through the course of her month-long stay, the teams at Troy worked with the family to ensure that she would have optimal visitation with her children.
In the usual outcome, she would have died that night and her son alive with permanent brain damage. But she is back to her "normal crazy, busy life" as a mother to two healthy children. This outcome would never have been possible without Anesthesia, Labor & Delivery, SICU, physicians, respiratory therapists, interventional radiology staff, and nursing leaders working together -- one example of the compassion, respect, teamwork, integrity, and excellence that we experience every day at Beaumont Troy.