Nurses inspired former patient Emily Busha, born with Total Colonic Hirschsprung’s Disease, to become a nurse

 Nicole Geffrey, RN (Emily's former nurse), and Emily posing for a picture together at

Mary Bridge Children’s Hospital.

Kalyn Kinomoto wrote the following:

"Emily Busha is a familiar name on the Mary Bridge Children’s Hospital medical-surgical floor. “I’ve been in and out of Mary Bridge my whole life,” Emily said. She’s from Port Orchard and has a long history with, and deep connection to, the hospital."

"Born with Total Colonic Hirschsprung’s Disease, a rare congenital condition that affects nerves in the colon and causes problems with the body’s ability to eliminate waste, Emily spent much of her infancy and toddlerhood as an inpatient at Mary Bridge Children’s. After four surgeries, including an ileostomy and reversal all before she was in preschool, Emily’s care continued off and on for the next 10 years — or as she says, every time she got sick..."

"Emily graduated from Seattle Pacific University with honors in 2021 with a BSN degree. She said that hands-down, her Mary Bridge Children’s doctors and nurses were major influences on her decision to pursue a career in pediatric nursing. After graduation, Emily completed a nurse residency at Mary Bridge Children’s and is now a registered nurse on the medical-surgical floor."

Read more about Emily at:

https://www.marybridge.org/blog/nurses-week-mary-bridge-childrens-nurses-inspire-former-patient-to-become-a-nurse/ 

Cheers!

Donna

Nursing student success by using visuals and mnemonics: Black Friday Deals on Picmonic!

 

i

If you are a nursing student with a learning disability or learn best with pictures, illustrations, stories and mnemonics, Picmonic is for you!

An audiovisual learning system using unforgettable stories and characters

Used by students all over the world

Research driven to increase long-term memory

Check out these deals!

https://www.picmonic.com/viphookup/exceptionalnurseLKJ23

 #nursingstudent  #NCLEXprep #RNstudent #LPNstudent #studentnurse #disablednursingstudent #dyslexicnursingstudent #nursingstudentlearningdisability

Cheers!

Donna

Calling all nurses: Are you interested in learning about communicating with people who are deaf and blind?

      

The Protactile Language Interpreting National Education Program (PLI) presents a self-directed course of study in Protactile Language Theory. This online certificate program consists of 16 hours of online content, assignments, and assessment, focused on co-navigation, Protactile language, co-presence, Protactile literature, and the Protactile numbering systems and alphabet.  

Protactile (PT) is a language that cannot be learned through visual or auditory channels. To fully acquire PT, the speaker and the listener must be in physical contact with one another.  Because of this, the PLI program of study primarily focuses on the theory of Protactile, and the certificate awarded at the completion of the program does not measure PT language proficiency. 

It is PLI’s strong recommendation that this program of study be paired with real-world experiences in the DeafBlind community, learning from and working with Protactile Language speakers. This certificate program does not replace the need for in-person language acquisition opportunities, but is meant to be a supplement and support in the language learning process. 

Visit the following web site to learn more. This is a free program.

Home - PLI (protactilelanguageinterpreting.org)

Protactile Language Interpreting National Education Program - YouTube

Cheers!

Donna

Caitlin Tanner, a UK nurse is studying the experiences of deaf nurses in the UK

    

The Swansea Bay University Health Board shared this story about Caitlin Tanner.

Starting your first job as a newly-qualified nurse just before the pandemic struck would be enough of a challenge for anyone.

But it was doubly so for Caitlin Tanner, who was born profoundly deaf and relies heavily on lip-reading to communicate – not easy when you are working in intensive care and everyone has to wear face masks.

Now she has led a new initiative designed to improve the care of hospital patients with hearing aids or cochlear implants.

At the same time, award-winner Caitlin is developing her own career, having completed her masters and now embarking on a PhD exploring the experiences of deaf nurses in the UK.

Her doctorate focuses on the experiences of deaf nurses in the UK. While her role as a deaf nurse is by no means unique, 25-year-old Caitlin said it was not common either.

“From reading the literature, I found that there is inadvertently some discrimination, some biases towards deaf people coming into healthcare.

“A lot of people think that, if you can’t hear, how can you look after a patient? A lot of the research I’m going to be conducting is into how we can support these nurses so we can safely get them into healthcare.

“It’s something that is definitely needed. As much as I’m studying deaf nurses, this is still applicable to older nurses who have age-related hearing loss, and young people coming into nursing.

“Many of them may have progressive hearing loss because of noise from earbuds and headphones.

“I definitely want to use my experience to support deaf people to come into nursing or into healthcare because I know they don’t believe they can access that kind of career path.”

Caitlin recently finished in ICU after three and a half years to focus on her doctorate, though she will continue nursing by working bank shifts.

And she has used her experience to design a deaf care plan for patients wearing hearing aids or cochlear implants.

She presented it at an innovation meeting in the intensive care unit, where it will be implemented soon.

“In university we don’t get taught about hearing aids or cochlear implants,” Caitlin said. “The feedback I got from the meeting was that a lot of nurses on the ward might have to ask the doctors, ‘How do we change the batteries? How do we do this or that?’.

“A lot of education is needed. Communication with deaf patients is such an important thing, especially in ITU.

“The care plan is a guide that staff can use to look after them. Before I finished, I went around the unit, doing some teaching. I’m really excited about it.

“The plan is to trial it in ITU, then roll it out across Morriston and then, hopefully, the wider Swansea Bay.”

Read more about Caitlin Tanner at:

Caitlin using her own experience as a deaf nurse to help others - Swansea Bay University Health Board (nhs.wales)

Cheers!

Donna

Holiday gifts

 

The Able Trust's High School partnered with USF Health College of Nursing to offer a program for high school students with disabilities interested in the nursing profession

 

Students from The Able Trust’s High School High Tech (HSHT) program participated in a first-of-its-kind Nursing Summer Scholarship program at the University of South Florida Health College of Nursing.

During this two-day immersive experience, students took part in a wide range of activities including interactive workshops, simulations, lectures, and other hands-on experiences. Students explored key aspects of nursing practice including patient care, critical thinking, evidence-based practice, and interdisciplinary collaboration.

HSHT provides high school students with disabilities the opportunity to explore jobs or postsecondary education leading to in-demand careers. This partnership with the USF Health College of Nursing gave HSHT students a unique opportunity to learn about both the education needs and career path options available to students interested in the nursing profession.

HSHT provides high school students with disabilities the opportunity to explore jobs or postsecondary education leading to in-demand careers. This partnership with the USF Health College of Nursing gave HSHT students a unique opportunity to learn about both the education needs and career path options available to students interested in the nursing profession.

“It was a great experience,” shared student Aubrey Wernet. “I loved the hands-on activities and learned so much. I would highly recommend this program to students who want to investigate the medical field.”

In addition to providing hands-on experiences, the Nursing Summer Scholars program gives students an opportunity to form connections with peers who have similar career and educational goals.

 Read more about this innovative program at:

The Able Trust teams up with USF Health College of Nursing to foster inclusion and empower students with disabilities - USF Nursing News

Cheers!

Donna

Meet Chloe Hammond, a nurse in the UK, and her service dog Ocho!

Able2UK reported that, "A community care worker from Weston-Super-Mare, Somerset, is thought to be the first nurse in the UK to bring an assistance dog to work."

"Chloe Hammond was diagnosed with chronic fatigue syndrome, Behcets disease, Raynauds disease at the age of 15, since then her health has deteriorated. From 2018 she needed to use a wheelchair after a life-changing illness."

"For the past two years Hammond has been training her Labrador service dog Ocho to assist her around the home and at work."

"Ocho passed with flying colours, he completed the independent test, sailed through three further courses and finished his final assessment in May 2023."

She told Mirror online: “I took a couple of years out of work when I was quite unwell - since getting Ocho I’ve had multiple promotions - I’m enjoying being a nurse again. Nursing with a disability is hard - but an assistance animal brings a different angle to nursing."

Learn more about Chloe and Ocho at:

https://www.able2uk.com/news/able2uk-heroes/meet-the-first-uk-nurse-who-brings-her-assistance-dog-to-work

Recent Graduate Award 2022: Chloe Hammond - The University Of West London (uwl.ac.uk)

 https://www.youtube.com/watch?v=oQkvRHtcqno

Cheers!

Donna

How a nursing student worked through lupus, fibromyalgia and depression to find her light

                                                            

By Tiffany Dwileski, RN, BA

Guest Blogger

At 26 years old, I felt I could run circles around people my age. I was driven, full of life and positivity. While working full time in a fast-paced ophthalmology office as a Certified Ophthalmic Assistant, I was gaining experience and studying to take the Optometry Admissions Test. While performing assessments, assisting in surgery, post-op care, and teaching, I learned how much I enjoyed spending time with my patients.  Educating patients became the highlight of my day; I could not shake how it felt when a patient had that “aha” moment.  At that point, I decided to change my career goals and pursue nursing. As a nurse, I could educate patients often, and the areas to work in were endless. 

Start of nursing school

Fast forward to the first week of second semester clinical experiences. We were providing total care to bed bound patients. I was leaning over a bed and felt a burning pain in my latissimus dorsi that got more intense the longer I stayed in that position. 

What was that? 

Thinking I just pulled a muscle, I rested at home but the pain was not going away. Suddenly, I was exhausted all the time, going to nursing school nights and weekends and working full time during the day. Yes, I was tired, but not like this. All I wanted to do was sleep. My lower back pain persisted while standing and I found myself too tired to complete the workday or go in at all. I also was having trouble keeping up with school. I felt wiped out, achy, my hips hurt, and I was having depression symptoms. Brief sun exposure would create a red patch on my nose and cheeks and make my body feel covered in sandbags. Seven months of visits to specialists including endocrine, infectious disease, and rheumatology resulted in diagnoses of lupus and fibromyalgia.

However, there is more!

Fired from my job for missing too much work and dismissed from my nursing program for failing a course, I was so depressed that I checked myself into the hospital for suicidal ideation.  There I worked with therapists who helped me realize that I was feeling lost. A team of providers helped me. A medical regimen for lupus and fibromyalgia along with a treatment plan for my depression was developed.

 Return to nursing school

In the fall I returned to nursing school determined that I would finish. It was important that I communicated with my professors about my condition, potential limitations and requested assistance when needed. Clinical days were very trying but I did not give up! Learning to practice good sleep hygiene, avoiding inflammatory foods, and engaging in light exercise such as walking, yoga, swimming, and listening to my body helped. Rest, eat, rest, repeat got me to graduation. 

Additional hurdles

While practicing as a nurse additional health challenges emerged. Heart surgery and treatment for melanoma seriously threatened my return to nursing. Times when I had to go on long-term steroids, I loathed the most; the medication made me feel angry and fat. Through these times, I learned to give myself grace.

Finding my light

Thankfully, I found that I could continue to work! I found my light working with children with developmental disabilities. The care I provide ranges from in-line suctioning of patients on ventilators to administering medications to patients experiencing explosive behavioral outbursts.  Many of my patients are nonverbal or minimally verbal, but they have taught me so much about bravery, spirit, humanity, and not giving up when the odds are against you. It definitely puts things into perspective when it comes to dealing with my conditions and evolving career as a nurse. I am building resilience to continue without losing hope for my future. 

Visit Tiffany on Linkedin:

https://www.linkedin.com/in/tiffany-dwileski-29443536

Or email her at tdwileski@gmail.com

 

Congratulations to the Exceptional Nurse 2023 scholarship winners!

 

Nursing students with a wide range of disabilities are admitted to nursing programs. Disabilities may include hearing loss, low vision, learning disabilities, limb differences, paralysis, mental illness, autism, chronic illnesses and conditions such as multiple sclerosis, lupus and movement disorders.

Financing an education can be a challenge for some students with disabilities. In addition to routine expenses (tuition, room and board, books, uniforms, transportation), students may need to purchase an amplified or electronic stethoscope, computer software programs, or audio books—as well as medications, hearing aids, therapies, prostheses, special equipment or custom alterations to uniforms and lab coats. Working a part-time job may not be possible.

Scholarships are available from ExceptionalNurse.com, a nonprofit resource network for nursing students and nurses with disabilities. The organization provides links to disability-related organizations, technology, equipment, financial aid, employment opportunities, mentors, blogs, continuing education, speakers, legal resources, social media groups, research and related publications.

 The organization has been awarding scholarships to nursing students with disabilities since 2003. The awards are based on academic performance, letters of recommendation, financial need and an essay which answers the questions: “How do you plan to contribute to the nursing profession? How will your disability influence your practice as a nurse”? Due to support from donations and book sales, we were able to award two scholarships.

ExceptionalNurse.com is honored to announce the winners for 2023!!!

Elizabeth Herrera from Tucson, Arizona will be attending the at the University of Arizona. In her essay, she stated, "now I know I am meant to be a nurse to continue to be an advocate for....patients like myself. Furthermore, I always wanted a healthcare provider to look like me: dark black hair, Mexican brown skin and deep brown eyes."

Janelle Eradiri from Freeport, New York is attending the Accelerated BSN program at the State University of New York Downstate. Her essay included,"I am committed to providing patient-centered care, advocating for individuals with disabilities, and fostering a culture of inclusivity with the healthcare system. My disability is not a limitation but a source of strength and motivation, driving me to make a lasting impact in the lives of those I serve." 

Congratulations and best wishes to these deserving future nurses.

Cheers!

Donna

Veteran U.S. Air Force nurse who is legally blind continues to care for others

 

Julie Harper shared this story about Nadine Jacobson in UCF Today. At age 62, Nadine Jacobson ’23MSN, who is legally blind, has overcome many challenges in life but has persevered in her commitment to lifelong learning.

With a passion for caring for others, she pursued a career in nursing. After earning her bachelor’s degree in nursing, she initially worked at the bedside before joining the U.S. Air Force where she had the rank of captain, worked as a labor and delivery nurse, attended nursing flight school, and served during the Persian Gulf War.

“My plan was to go to medical school to become an obstetrician or midwife and deliver babies,” she says. She even had completed all of her pre-med requirements while being a single parent and serving in active duty.

That journey, however, was cut short after a procedure to remove thyroid cancer triggered a reaction in her eyes — causing her vision to slowly deteriorate.

Despite the challenges of her disability and in life, she continued to care for others as now a mother to five children and she continued to pursue an education, earning a bachelor’s degree in psychology, master’s degree in nursing health policy and a law degree.

After practicing law for several years (she had to close the practice to focus on her family), she returned to school and enrolled in the healthcare simulation program at UCF — one of only a few nationwide.

During the program, she needed to complete clinical rotation and worked alongside renowned simulation expert and nurse practitioner Desiree Díaz in a Central Florida clinic.

“I really enjoyed it, as I really miss being able to be a nurse,” Jacobson says. “I still have a lot of nursing knowledge, and it was great to tap into that and belong in that group again.”

She also spent three days in UCF’s internationally accredited STIM Center.

“They were really excellent at providing accommodations for me,” she says. Those accommodations included hooking up Jacobson’s 27-inch iMac, her “window to the world.”

Read more about Nadine Jacobson at:

Knowledge is Power for Disabled Veteran and UCF Nursing Graduate | University of Central Florida News

Cheers!

Donna

Nurse transforms her life and calls her wheelchair "a gift"

 

Deborah Sherman wrote this piece about Dr. Terry Chase. 

"One moment, 32-year-old Terry Chase was leaning over the handlebars of her road bike feeling the sun and wind caress her face while her lungs and legs pumped and burned along a 10-mile route in Grand Junction. The next moment, she was airborne."

"She landed on the hot hood of a Lincoln Continental, sprawled across the windshield. It kept going. Chase heard crunching as the car demolished her bike. The driver swerved hard and she rolled off, slamming into the pavement. As he sped away, strangers ran over to help. She couldn’t move. Chase cried, “Where are my legs?” Her back was broken."

In one breath, Chase had gone from an athlete to half paralyzed as her spine shattered leaving her in a wheelchair for life. But today, after living with a disability for 35 years, Chase calls that wheelchair “a gift”.

“The accident knocked the crap out of me or perhaps what was holding me back,” wrote Terry Chase, ND, MA, RN, CEIP-ED, in her book Spoke by Spoke: How a Broken Back and a Broken Bike Led to a Wholehearted Life.

“It turns out the injury that seemed to take away so much actually gave me more and allowed me to live a fuller, expansive life. It’s ironic that after getting hit by that car…and being left half-paralyzed, I finally learned to take the first step toward creating my life.”

Please read more about Dr. Chase at https://news.cuanschutz.edu/nursing/former-cu-nursing-grad-transforms-life-after-near-fatal-cycling-accident-finds-new-reason-to-live-and-serve and view this YouTube video CU College of Nursing: Alumna Terry Chase, ND, MA, RN, CEIP-Ed - YouTube

Cheers!

Donna

For nurses with joint hypermobility: A New prototype could be a game changer!

Chloe Cottone uses prototype 3D finger braces to help with her hypermobility issues as she practices using sutures. Photo: Sandra Kicman

Bill Bruton reported this exciting development in UBNow.

"First-year UB medical student Chloe Cottone had a problem that could have quickly derailed her dream of becoming a surgeon. But a collaboration between the Jacobs School of Medicine and Biomedical Sciences and the School of Engineering and Applied Sciences is keeping that dream alive."

"Cottone deals with Ehlers-Danlos syndrome, a group of inherited disorders that affects connective tissues — in this case, her joints. She has hypermobility in her joints, which means she has an unusually large range of movement and is at risk of injury because her joints are too flexible."

“When I was in gross anatomy lab, I struggled to use some of the surgical instruments in conventional ways because of the hypermobility — specifically in my thumbs,” she explains. She tried swan splints, which can be worn on the fingers or thumb and are designed to block hyperextension without limiting flexion.

“There are some companies that make metal ones, but they’re extremely expensive. They were like $100 a pop. And I couldn’t find anything online that did what I needed and could be used under a surgical glove,” Cottone says.

"As a medical student without a lot of extra spending money, she got creative. She went to Michaels, an arts and crafts store, and bought a ring sizer and some copper wire to make something herself. “They worked for a little bit. Unfortunately, they ripped through the surgical gloves,” she says.

"Her gross anatomy instructor, Stuart D. Inglis, instructor in the Department of Pathology and Anatomical Sciences, saw she was struggling. “What she was finding was that when she was holding the scalpel, her fingers would bend in an awkward sort of way and pop out of joint and pop back in, causing her a great deal of pain,” Inglis says.

The prototypes later developed could be a game-changer.

“Surgeons are very dedicated to their job,” McLaughlin-Kelly notes. "They don’t want to give up the operating room, so they operate right up until they can’t. But if they have braces like this that allow them to work longer — the same with people out in the work force in other occupations — this can help prolong their careers,” she says. “It can also be used as a preventive measure. This can make a huge difference in terms of medicine.”

"Cottone says that what started as a small personal project is now something that can have a much larger impact. “Now we are thinking of how we can make these available to other people who work in health care who have hypermobility, who can’t afford several hundred dollars on metal splints.”

Read more about this at:

https://www.buffalo.edu/ubnow/stories/2023/05/collaboration-medical-braces.html?utm_source=FBPAGE&utm_medium=social&utm_term=20230610&utm_content=100004223382932&utm_campaign=General+Content&linkId=100000204985221&fbclid=IwAR1rJD4GfZ5E7GfnHptd9gLVJ1Q8feqmF_vrNProAmYFyGk5tyUy_Z39Pok

Cheers!

Donna

Seven years after sustaining a spinal cord injury, Gabrielle Baldwin Vanderkuyl graduated with a Bachelor of Science in Nursing

                                                                                Gabrielle Vanderkuyl, BSN

"In 2016, four months before Gabrielle Vanderkuyl was supposed to get her Bachelor of Science in nursing, she ended up paralyzed from the chest down. It’s a moment in her life she doesn’t want to talk about or focus on. Instead, she talked about her hard work and perseverance, which made her graduation dreams come true."

“It’s just moving forward and just knowing that you’re capable of whatever dream that you have and don’t give up,” she said. “Put everything you can do in a bag. Put it on your back. And go forward.”

"Baldwin returned to the School of Nursing in August 2021, seven years after she started the BSN program, ready to wrap up her degree. She needed to audit several courses she had previously taken, finish some classes that had been added since 2016, and complete the last of her clinical rotations."

"She’s come a long way. Now, she has to study for the test to get her nursing license."

Learn more about her journey at:

https://magazine.uncg.edu/newsfront/gabrielle-baldwins-amazing-journey/

https://www.wnct.com/news/north-carolina/uncg-nursing-student-defies-odds-graduates-7-years-after-getting-paralyzed-from-chest-down/?utm_medium=referral&utm_source=facebook.com&utm_campaign=socialflow&fbclid=IwAR3Uiq1K3AjebpMVfgdR1kOzdxMEHseEc6n-0jiJqTacnP0pYF09EVRrvA8

Cheers!

Donna

Living with epilepsy and studying nursing: Go out there and be your amazing self!

 David Coates, wrote an article for "Epilepsy Scotland" about Felicity, a nursing student with epilepsy.

How have you managed your epilepsy whilst studying to become a nurse?

"Rest, medication, and hydration!

Remembering to take my medication regularly has been crucial. Also, sometimes I do have to give into side effects such as fatigue.

It’s important to rest when your body tells you to. Staying hydrated also reduces the risk of my medication giving me kidney stones.

It has been important to have a good structure for the working day since Covid has put all of our modules online.

I find that I work best in the mornings, so I do any new material then followed by a decent break and then some revision or light reading in the afternoon.

While on placement in a healthcare setting, I make sure that the nursing staff is aware that I have epilepsy.

This helps us mold my practice learning environment so that I minimise my exposure to triggers but still maximise my learning experience.

I have taken part in GP rehabilitation wards, end of life care, cardiology, and health visiting as well as spending the day with physiotherapists and speech and language therapy.

Nothing has been off-limits so far. It’s just about working together and planning ahead."

What kind of support have you received from your university?

The university has been so supportive. It took a while before I could be persuaded to speak to Disability Services within the university but they have given me so much support and encouragement.

I receive a little extra time to complete any written exams and I am able to sit in a smaller room to minimise the stress of the situation.

This also means that if I feel a seizure coming on, I can make a quick exit to a place of safety.

I have an individual risk assessment for when I am on practice placement which details things such as I shouldn’t be behind a locked door and I may need a water break during my shift.

My first placement was meant to be 12.5 hours shifts which are pretty standard in a hospital environment.

My Advisor of Studies sat down with me and the charge nurse and we agreed that I could work shorter shifts and gradually build-up to the full length so that I could adjust to the levels of work.

The University also applied to the Student Awards Agency for Scotland (SAAS) for a Disabled Students Award.

This Grant gives me access to things such as taxis to placements that are far away or printer ink so that I can print out my lecture notes and not have too much screen time.

I have to also mention my fabulous friends who keep an extra eye on me during long, warm lectures.

We make sure that I sit near the end of an aisle and one of them will come and check on me if I take a long time going to the toilet etc.

I was even a recipient of the Bruce Johnstone Scholarship during my first year. This is an award given to students who have had to overcome adversity to gain a place at university.

Do you feel your epilepsy has stopped you doing what you want to do?

Epilepsy hasn’t stopped me. I won’t allow it to! Sometimes it’s about finding an alternative route to your goal. Yes, there have been times when it has thrown a bit of a spanner in the works.

I missed some time on placement after a particularly nasty seizure, but I worked with the university to find a way for me to stay on course. Having an open and honest dialogue is so important.

I have always wanted to help people. I did put off applying to university because I had the misconception that my epilepsy diagnosis would stop me from working. It turns out that all I needed was a few minor adjustments.

Living with a chronic condition myself has helped me empathise with some of the patients that I have met during my training.

A diagnosis can really knock your confidence at first. It’s good to be able to listen to their worries with a little understanding of what they are feeling.

What would you say to someone who has epilepsy and is worried about going to university?

Get in contact with disability services as soon as possible. They will be able to advise you on every aspect of your student life from how to stay safe on campus, to any special requirements for both learning environments and halls of residence.

Get registered with a local GP, they come to freshers week here. I would advise arranging an appointment to go over how your epilepsy affects you and your individual care plan.

I would also recommend wearing a medical ID of some sort and having your emergency contact stored in your phone under “ICE”.

That way if you do happen to have a seizure on campus people will know that you have epilepsy and who to contact.

Be open and honest with your faculty staff. They cannot help you if you do not tell them that you are struggling whether that is due to your epilepsy or other factors.

Make sure that you pace your studying so that you get plenty of rest and recreation too! Set an alarm for your medication too. It’s so easy to forget when you have such a hectic study/social life.

Most importantly get stuck in and enjoy yourself! Sign up to a society to help you make friends, you are a student for such a short time. Don’t let your condition define you! Go out there and be your amazing self!

Read more about Felicity at:

https://www.epilepsyscotland.org.uk/living-with-epilepsy-and-studying-at-university/

Cheers!

Donna

For Limb Difference Awareness Month we celebrate these nurses!