Archive for category: Nursing
Braving uncertainty during uncertain times
Written by: Cassidy Toben, Assistant Nurse Manager, Emergency Department, Lenox Hill Hospital
Northwell Health is proud to spotlight our front line health care workers. See how Northwell clinicians – doctors and nurses – are responding and working on the front lines of the COVID-19 pandemic. Read their stories here.
Cassidy Toben, RN, finds a new niche as COVID-19 forces health care workers to shift roles
As an assistant nurse manager, I’m lucky to have the opportunity to inspire and motivate our nurses and staff, really coach them through their nursing journey. And during the COVID-19 crisis, my role has shifted, transitioning into even more administrative responsibilities.
I’m not always in the rooms with COVID patients, and there’s a sense of guilt that comes with that. Togetherness and camaraderie are built within nurses. It’s our calling — caring for another as if we are the patients we are restoring to health. Leading my team is also a calling, one that I’ve relished during this situation.
Since COVID-19 reached our doors at Lenox Hill Hospital, we’ve bundled care, limiting the number of people and trips in and out of patient rooms. What you might do in a few trips, you do all at once now.
On tough days, and there have been many, one of my nurses will need me to serve as a sounding board to vent about harrowing experiences, or to cry with them about a lost patient. Being this support system is critical to their well-being. We all share the burden and have a stake in this.
I went into nursing to save lives and to help people. But, you realize quickly that you can’t save everybody. That’s really humbling.
The scariest day during this experience came at the end of March. New York was just hitting its peak and COVID-19 patients arrived at alarming rates. One patient was talking to us and seemed pretty stable. About an hour later he coded. Everybody ran to his bedside. Then about 10 minutes after that, a patient on the other side of the emergency department coded — everyone ran to that bedside.
Then a third patient needed resuscitation.
I took a step back and, while watching every one race to the bedside, thought to myself, “Wow, the teamwork here is really inspirational.” The compassion that they showed to the patients, to each other, it eased my fears that day. We have each other’s backs and we support each other. We take care of our patients and we go home. Most of us go home alone. We don’t get to hug our parents. We don’t get to see our families. So, we’re really in this together.
But worry does come over the staff. Patients begin to remind you of your family — many times you’re acting as their family, with visitation suspended in hospitals. And then you worry about your own family, and then yourself.
(Deep breath)
My first symptoms started on March 26, a curious cough that would lead into fatigue and shortness of breath. My husband and I decided it would be safer to stay together than risk exposing anybody else in my family. Still, the thought of getting him sick caused so much anxiety that I started having nightmares. I dreamt that I got him sick and he was dying, because that’s what we were seeing each day. And any health care worker can tell you that they have that exact same fear. It’s not about me. I can handle me. But I don’t want to hurt the people I love.
After two weeks of being ill, I returned to work. I still struggle to sleep, but now it’s our patients that I worry about. It’s also really rewarding to see that our staff has risen above a lot of the challenges, remaining positive at every corner. So, even on days when I’m operating on little sleep, I come into work feeling like we can succeed. We are together and we’re going to get through it.
Luckily, the situation has improved — the volume in the emergency department has slowed. People are staying home, and we’re now on the right part of the curve. Devastation has turned into hope. We’ve lost a tremendous amount, people we know, grandparents, friends. So, we must remember those who are lost and work through each day with positivity.
In a time where it’s hard not to think about yourself and your family and worry about getting sick, people are still thinking about each other here. That is just absolutely incredible. It makes it all worthwhile, providing purpose and an unrelenting desire to help another.
That’s what nursing is truly about.
Cassidy Toben, RN, is an assistant nurse manager in Lenox Hill Hospital’s emergency department.
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Written by: Colleen Conaty BSN, RN-BC, Float Team, North Shore University Hospital
Behind the Mask: Working as a Float RN during the COVID-19 pandemic
Being clinical professionals, we were excited and honored to be a part of history by saving lives – but we could not have anticipated what the next weeks would bring. Though it was unlike anything we could have imagined, my team managed our small unit like champions. As the first designated unit, we were also the first to use personal protective equipment (PPE). We then used our experience to start the education process to teach others how to don and doff PPE properly. From respiratory therapists and environmental service workers to doctors and advanced clinical providers the float team was there to educate them all. We wanted to make sure each member of our North Shore University Hospital (NSUH) team would be able to fight this battle safely.
As the need for more COVID units arose, we opened our unit happily to the ICU nurses who expanded their services to care for patients. We showed them where our supplies were kept and oriented them to our unit so they could take care of the sickest patients. The float team’s challenge was then opening two brand-new units and our nurses, PCAs and CSAs, proudly came in on days off to help support our patients. Every time a manager would ask for more staff many volunteers would offer each time – all to make sure our team members weren’t going to be overwhelmed.
We are still fighting, but the most amazing thing I’ve noticed over the past weeks isn’t just the amount of lives we’ve saved, but that everyone is still smiling. My team carries on with the same smiles and laughs they’ve always had, sending each other heartfelt messages throughout the day. Come to one of our units at any time and I guarantee you’ll hear uplifting music playing from our nursing stations. You’ll find a busy nurse still making time to go room to room with an iPad, helping our patients to FaceTime their family. A few happy tears are shed when we learn a patient has been discharged or when we hear “Here Comes the Sun” play overhead, and celebrating that a patient gets to live because they won the battle – that we won the battle together.
I have never seen strength like this in my lifetime. Though these times are dark, this team has brought light into this world and shown me what it means to truly be a hero. Working aside these people has been the privilege and the honor of a lifetime. Float team, you are saving lives every single day and going through one of the hardest times, arguably of our lifetime, and you’re facing it with positivity. I am so proud of you all and so proud to call you my float family.
Are you Made for an exceptional nursing career like Colleen’s? Learn more about nursing at Northwell Health.
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Connecting with coronavirus patients, and their families
Northwell Health is proud to spotlight our front line health care workers. See how Northwell clinicians – doctors and nurses – are responding and working on the front lines of the COVID-19 pandemic. Read their stories here.
Nicole Fishman, RN, isn’t just caring for COVID-19 patients at Huntington Hospital, she’s helping them communicate with their families too. Hear her story.
During the COVID-19 crisis, there’s been an even greater focus on caring for our patients as whole people in light of very limited visitation policies. They sometimes get scared having minimal contact with their friends and families. But my staff and I have been proactively calling family members and giving them updates on their loved one throughout the day. We are also using iPads and tablets to Facetime and Skype with families, so they can share their love with our patients.
When we are communicating with families through tablets, I think about my own parents and how I would want them to be treated if they were in this situation.
It’s been amazing getting so much support from throughout our hospital. All of the people are are caring for are either suspected or confirmed COVID-19 patients. So everyone is isolated and requires a higher level of care. We are managing this by working as a team, staying strong and supporting each other in any way that we can. As expected, we’re taking everything day by day.
Wearing all of this additional gear can make it harder to breathe, which is why we need more frequent breaks. I try to take advantage of any time away, going outside for fresh air and to clear my head.
All of Huntington Hospital’s employees have been so appreciative of the meals that we’ve received from community donations. It’s been very helpful to not have to worry about cooking or preparing food. We can focus on what matters most — our patients.
One thing I’ve been surprised about is that younger patients — people in their 40s, 50s and 60s — are deteriorating faster than I would have anticipated. Some don’t have a past medical history of pre-existing conditions.
I’m fortunate to have a very supportive boyfriend who’s at home cooking and taking care of things while I’m out fighting COVID-19. Many of the other nurses on my unit have supportive significant others who have been writing encouraging letters and packing food for us.
When I leave work, I take several precautions in an attempt to protect my boyfriend from this dangerous virus. I change my shoes before I get into the car and shower immediately when I get home. I take all of my clothes off right by the door and throw them straight into the washing machine on a hot water setting. I feel safer being on my unit versus out in the community because we’re all wearing the proper protective gear and the unit is constantly being cleaned.
As advice from someone who has witnessed the devastation COVID-19 causes, please listen to what everyone’s saying. Stay home. Only then can people hopefully stay out of the hospital. If you don’t have to go out, please don’t.
Even though the world seems on hold right now, for health care workers it’s more like business as usual. Caring for our patients in all circumstances is what we’re made for.
Nicole Fishman, RN, is a nurse manager at Huntington Hospital.
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Beyond the call of duty: answering the call to deliver care
When it comes to veterans finding careers at Northwell Health, during or after their service, the opportunities are limitless. Take Stephanie Leibman, a registered nurse at Northwell and a member of the Army Reserves. She began her journey here in 2016 and quickly discovered this was the place she was meant to be.
Starting as a patient care associate (PCA) at Glen Cove Hospital while in nursing school, Stephanie experienced an accommodating and supportive environment that encouraged her professional growth and helped her discover a different mission that she was more than ready to accept.
“My nurse manager was always very accommodating with my school schedule, and all of the nurses that I worked with were always willing to teach me what they knew,” she says. “Northwell was constantly holding career-related events which eventually helped me move from PCA to nurse.”
What she details is just an example of the programs we have available to help develop our talent. Following her transition from a PCA to a registered nurse, Stephanie first gained experience in pain management before accepting an RN position at North Shore University Hospital (NSUH) in the Labor and Delivery department.
Although still new to the labor and delivery team, she’s quickly made herself at home within a department she’s dreamed of since her first day of nursing school. “Even though I’ve just started in labor and delivery, I love it,” she says. “I love the friendly and helpful environment, and how there is constant learning opportunities. I love being a part of such an amazing process and assisting women and their families through it.”
Her time serving the country, functioning as a healthcare specialist, provided her with a unique skill set that easily transferred to the work we do every day at Northwell. “In the Army Reserves, I’ve received a great deal of fast-paced trauma training which I find useful every day of my career. It really helped teach me how to function in high-stress situations,” she says.
Everyone who joins our team with a passion for redefining healthcare will find many opportunities for development and career growth. Northwell’s culture has tremendous revere and admiration for our veterans and reservists who have sacrificed so much to protect and keep our country safe. As Stephanie knows, there is always a place on our team. “I’d definitely recommend other veterans and military members to work for Northwell. The organization appreciates the work we do, and is flexible to reserve/army schedules.”
Explore our careers and discover how to leverage your veteran experience at Northwell Health.
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Celebrating acts of kindness among our family of Northwell heroes
Though we span across 23 hospitals and more than 750 ambulatory locations, our Northwell Health team is one big family. And as a family, our team members are committed to not only delivering the best patient care, but caring for each other and our communities.
Check out these stories of our clinical and non-clinical team members alike working to bring moments of positivity, hope and support amid COVID-19.
Finding Connections Hospital to Hospital, Unit to Unit
Kindness is connecting our teams across Northwell through video messages, photos, cards and other countless examples of ongoing support and humanity. For example, Krista Griffin, a patient access team member at Southside Hospital, raised money with her family to have catered food delivered to overnight workers in the ED. Also, the NICU team at Cohen Children’s Medical Center created and delivered care packages to other Northwell hospitals, and our nutrition and dining services teams baked fresh cookies for workers to bring home after a long day.
Bringing the Grocery Stores to our Team Members
Hospitals across Northwell realized the need to help support our healthcare heroes get the necessities they need at home. Hospital cafes have turned into temporary grocery stores, where our nurses, environmental services workers, physicians, therapists, transporters, techs and others can safely shop to stock their pantry or choose a freshly prepared meal to take home.
Stitching for our Heroes
Gloria Medina, a booking clerk at one of Northwell’s endoscopy practices, posted a call to action for all stitchers to help create artwork for our heroes. These custom portraits are being delivered to our healthcare heroes on the front lines as a way to say thank you and make them smile.
Finding Inspiration at Glen Cove Hospital
The 1 South Rehab team at Glen Cove Hospital created an Inspiration Tree within the hospital to leave small tokens of wisdom and motivation for team members and patients. These messages help them to find optimism and the importance of what matters most.
Chalk Art Acts of Kindness
Throughout the health system, chalk art has been popping up outside our hospitals. Messages from team members and our communities are being drawn to thank our workers and give them something bright and cheery to look at as they walk in and out of work.
Take 5 for YourSELF Fridays
The Employee Wellness team collaborated with myHealthBody to start a weekly series to encourage team members to take five minutes to care for themselves with “Take 5 for YourSELF Fridays”. The weekly videos and printouts include guided stretches and exercises to help relieve tension and grant wellness benefits that last all day.
We are all filled with gratitude for our wonderful Truly Together team. Their passion, dedication and kindness inspires us daily. To all healthcare heroes here and everywhere – THANK YOU!
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Nursing Students get a Golden Ticket to Northwell’s Nursing Showcase
The future of nursing is golden at the Northwell’s Golden Ticket Nursing Showcase! This year, more than 630 junior and senior nursing students from 50+ colleges attended to learn about Northwell’s nursing careers and culture. Our invitation-only event at the Crest Hollow Country Club in Woodbury, NY is an important way to identify and engage with nursing students for New York State’s largest health system.
At the Golden Ticket Nursing Showcase, students attended presentations from Northwell’s nursing leadership to hear about our careers including our externships and fellowships, advanced careers such as becoming a nurse practitioner and the future of nursing at Northwell . Panel sessions were also held featuring previous nurse externs and current team members to allow students to ask questions and hear about their experiences.
In addition to the panels and presentations, students explored the Nursing Careers Expo and Culture Center where they could meet and interact with our registered nurses and nursing leaders and learn what makes Northwell’s culture and careers so unique. Here students also had the chance to learn about more than 23 specialties in nursing such as PeriOperative, Emergency, Critical Care, Pediatrics, Home Care, Case Management, TeleHealth, Mother/Baby and many more.
Don’t miss this inside look at what it’s like to attend the Northwell Golden Ticket Nursing Showcase in our video recap:
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Six reasons why an operating room fellowship could be right for you
Are you a new BSN graduate or experienced RN looking to take your career to the next level in the operating room? A periOperative fellowship could be a great way to gain the skills, experience, and confidence you need to be successful. Our six-month program combines lectures, workshops, independent study, role-playing, case scenarios, and simulation – all while providing hands-on experience in the OR.
Here are six ways our fellowship program can be instrumental in advancing the careers of truly ambitious nurses. You will:
1. Gain training not taught in nursing schools.
The operating room is different from just about any other environment and it is not typically part of the curriculum provided by most nursing schools.
“It is such a different atmosphere than what most nurses have been exposed to, and with little coverage of the OR in nursing schools, everything is new and different,” says Robyn Murray, an operating room registered nurse at North Shore University Hospital (NSUH) who went through the fellowship herself. “I would definitely recommend the fellowship to nurses so they can build a strong foundation.”
2. Promote the nurse’s role as patient advocate.
Our fellowships help you build confidence as a key member of the interdisciplinary team. You will be better prepared to speak on behalf of the patient.
“The biggest lesson I learned during my OR fellowship was to always speak up and advocate for the patient,” says Kristi Troha, a registered nurse in the OR at Southside Hospital. “Northwell offers an unbelievable opportunity that has shaped my career and I am so thankful for it.”
3. Better understand the importance of teamwork.
You will master the ability to develop and manage relationships with staff with all different skills and personalities. We’re all a team in the OR!
Today Marisa Baccarella is an assistant nurse manager for the OR at Long Island Jewish Medical Center but she fell in love with periOperative teamwork during her fellowship: “I love the teamwork aspect of the operating room. You get to work with a large interdisciplinary team made up of surgeons, anesthesiologists, CRNAs, surgical techs, and periOperative assistants. You’re all working together very closely to take care of a patient.”
4. Acquire the essential skills for successful patient outcomes.
Because the OR is fast-paced and ever-changing, it’s important to have the hands-on skills needed to be successful. We will teach you everything you need to know, including surgical counts, sterility procedures, patient positioning and more.
“I think the fellowship is the best transition for a nurse to start a career in the OR,” says Kerri Robertson, an OR nurse at NSUH. “After completing the didactic and hands-on parts of the program, I was confident to circulate and scrub during surgery.”
Nina Stoia, an OR registered nurse at Peconic Bay Medical Center
5. Work on diverse cases.
Our fellowships give you a thorough and comprehensive orientation to the OR. You will have the opportunity to learn every service line, including both the adult and pediatric populations.
Nina Stoia, a registered nurse in the OR at Peconic Bay Medical Center, also completed a periOperative fellowship with Northwell. She says, “My favorite thing about working in the operating room is the diversity of cases I take part in. Whether it be a total knee arthroplasty, a cataract extraction, or a robotic hernia repair; they all positively impact an individual’s quality of life.”
6. Gain a strong foundation for continued growth.
Whether you are just beginning your nursing career or looking to advance it, Northwell’s periOperative fellowship program provides an excellent foundation to build upon.
“Be patient with your learning,” advises Michael Alvarez, a registered nurse first assistant in the OR at NSUH. “We learn very little about the OR in school and the OR environment is like no other.”
Are you Made for an opportunity like this?
The next step in your career is up to you! To learn more about being a part of our fellowship programs, click here.
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My first year: what it takes to be a nurse practitioner
The road from nurse to nurse practitioner (NP) presents new and exciting challenges, from managing complex care on a new team and oftentimes, working in a new environment. Taking this new path involves stepping outside your comfort zone to follow your passion.
In recognition of National NP Week, we spoke with NPs across our hospitals to get a look inside their journey thus far, including lessons learned and how they’re continuing to grow and develop as an NP.
It involves teamwork
As a new NP graduate, it’s important to communicate effectively with other clinicians on the care team – that includes not being afraid to ask questions and providing support to one another. Scott Snorteland, FNP-BC, from North Shore University Hospital feels a support system is crucial to a smooth transition into the role. “Without the help of my supervisor and my colleagues, I don’t know how I would have gotten through the first month. Teamwork is crucial to your role as an NP,” says Scott.
Merin Jacob, MS, ANP-C, who works in Employee Health Services (EHS) for Lenox Hill Hospital believes teamwork is most effective when you’re working with likeminded people. “Working in healthcare, we all have the same goal – to better the health of our patients and take care of each other. It’s important to put their safety and health first, and it makes it easier when you’re surrounded by those likeminded people who have the same goal in mind as you.”
Get comfortable with being uncomfortable
When you’re faced with new responsibilities and a new work environment, it can be overwhelming. However, it’s important to get past your insecurities, stay positive and be able to accept those new challenges. Meghan Billia, MS, FNP-C, who practices palliative care at Huntington Hospital found having a mentor helped her get through the first couple of months. “It’s so important to have people to go to and ask for advice or bounce ideas off of. My mentor, Nanci Berg, NP-C, was that person for me and really helped me through that transition period.”
A new challenge can also be exciting. Scott went from an RN in pediatrics at Cohen Children’s Medical Center to now working with adults as a family nurse practitioner in cardiovascular and thoracic surgery. “I knew going into this role that it was going to be challenging for me, but that’s partly why I took it. Getting out of your comfort zone and overcoming your fears is how you continue to grow.”
It’s more than clinical work, it’s about making connections
As a NP, making connections with your patients goes far beyond the bedside. You follow patients through a continuum of care – from 1:1 consults in an outpatient office to an inpatient stay, through discharge and back for follow-ups – it goes full circle. You build a sense of trust with your patients and it makes caring for them that more efficient.
Merin says working as an NP in EHS makes her feel like she’s part of a small community. “I spend time talking and building relationships with my patients because I know they may need to come back for follow-ups or new needs. You build a sense of trust with them and it’s a continuity of care outside the walls of the exam room that really makes a difference.”
Continue to grow
Every time you treat a patient, you’re faced with another opportunity to sharpen what you’ve learned. And ongoing education is crucial to being a successful advanced clinical provider. Scott, now seven weeks into his role as an NP, says he’s learned so much and is looking forward to continuing to intellectually challenge himself and advance his career.
“I’m amazed at how much I’ve learned from my first week as an NP to now. Going back to school provided me with the foundation I needed, but it always comes down to the hands-on experience. I’m still learning, and I’m OK with that because it’s how I’ll continue to reach my goals.”
Becoming an NP doesn’t just happen overnight or in orientation, recalls Tova Miller, AGACNP-BC, who practices internal medicine at Forest Hills Hospital. “It’s about understanding what you don’t know and utilizing what you do know. Being confident and continuing to learn helps you understand why we’re doing what we’re doing.”
Let your passion guide you
The hardest days can often leave the greatest impact on your career. It makes you remember why you made the choice to transition into an advanced role and challenge yourself to continue to do better.
“I feel that I’m really making a difference,” says Tova. “I make sure our patients are receiving the best patient care and it’s my goal to get them out of the hospital as soon as possible, and be safe while doing so. As an NP, I know I’m making a positive impact on peoples’ lives and it brings me happiness when I know I’ve done something to improve their quality of life.”
Making the transition is something you have to be ready for, according to Scott. “As challenging as it is some days, it’s equally rewarding. As nurse practitioners, we’re here to be role models and pave the way for higher education for other nurses. I’m excited I took this leap to advance my career and I hope others take the opportunity to do so.”
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Northwell Relay: Employee’s passion to honor a colleague gives birth to a new labor and delivery room
Over the span of six weeks, follow along with us during our first-ever Northwell Relay. Hear stories from our team members who are passionate about giving back to Northwell to support what matters most and making a real difference in patients’ lives.
Marianne DiStefano never counted the number of babies she delivered in her 30-year career, but it’s safe to say there were thousands. Everyone she encountered — coworkers, patients and families — recognized how much she loved her job as head nurse in labor and delivery at Staten Island University Hospital. It brought her indescribable joy.
This spring her coworkers honored her passion through the 2019 Northwell Health Walk at Staten Island. After Marianne’s passing in February 2018, her colleague Linda Spadafina set a team goal of raising $25,000 to name a labor-and-delivery room in Marianne’s honor within the new Gruppuso Family Women & Newborn Center, slated to be open late 2021.
“Marianne was a mentor and leader to many nurses during her career at Staten Island University Hospital,” says Laura Wenzel, senior director of maternal and child nursing. “It was heartwarming to see Linda and the staff collaborate with Marianne’s family to keep her legacy alive. Marianne continues to live on in the hearts of the nurses and families she impacted over the years.”
A star fundraiser raises the bar
Since the inception of the Northwell Health Walk at Staten Island in 2016, Linda Spadafina has been an exemplary committee member and team player who is made for unwavering support. As captain of Team Baby Steps, Linda raised more than $34,000 in the walk’s first three years to benefit Staten Island University Hospital. From “Taco Tuesdays” and “Waffle Wednesdays” to hosting big-ticket raffles and events, Linda’s fundraising tactics exemplify her creativity.
With 2019’s walk goal to honor Marianne, Linda took ownership of the challenge, bringing the hospital community together. “Even though we are part of a large hospital system, Staten Island University Hospital is still very much a community hospital,” Linda says. “The support that was shown at that walk in May is certainly proof of that.” With her persistence and dedication, and support from the walk committee, fellow employees and community members, the team surpassed their goal, raising nearly $30,000.
Employee generosity benefits our communities
Linda and her team exemplify the dedication that Northwell Health employees bring to their patients, each other and the places they work.
Northwell’s employee giving program — What matters most — offers team members additional ways to help us meet our $1 billion Outpacing the Impossible campaign goal. They can make a one-time gift, enroll in payroll deduction or contribute their myRecognition points to support the program or hospital of their choice.
Through their generosity and passion, Northwell Health employees like Linda are leading the way in helping push boundaries and redefine health care.
“Simply put, it’s a labor of love,” Linda says. “I do all of these crazy things because I love raising funds for this hospital and the community it supports.”
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Investing in the future of nursing with our Nurse Extern Program
Our Nurse Extern Program is providing junior BSN students with a unique experience at the bedside within a Northwell Health hospital. Every summer, selected nursing students have the opportunity to participate in our rewarding eight-week paid program. Guided by preceptors, these future nurses develop a strong skill set all while strengthening their passion for delivering care.
This unique experience is a powerful stepping stone for nursing students. Nurse externs spend their program shadowing nurses to see first-hand what it’s like to work in a hospital setting. By introducing them to specialties they won’t see in their clinical rotations, such as the operating room, students enter their senior year with more confidence and a better understanding of which specialty they want to develop their career in.
Beyond learning how to deliver bedside care, students participate in educational in-services presented by our nurse educators and leadership, while building lasting relationships with their peers. Externs also work together to complete a final project to present to nursing leadership at the end of their program.
The 2019 program hosted 91 nurse externs at 15 hospitals in over seven specialties, a 30% increase in nurse externs since 2018.With the growth of our program, more students are able to gain an invaluable foundation to build their nursing career.
Are you Made for the future of nursing? Learn more about our Nurse Extern Program here!
Hear from 2019’s summer Nurse Externs on why they loved our Nurse Extern Program:
Amanda Steinberg,
University of Michigan
“Not only did Northwell’s externship program provide me with the tools to enhance essential nursing skills, but it also allowed me to understand that the smallest act of caring is the true vulnerability of nursing.”
Caroline Turansky,
Boston College
“This summer I had the opportunity to work as an extern in the OR. In just eight short weeks, I learned more than I ever thought possible through both my time on the floor and educational sessions. Every aspect of this program fostered my growth as a nursing student, and it was truly an invaluable experience.”
Chris Peppe,
St. Joseph’s College
“My externship was the most informative eight weeks of nursing knowledge and practice that I have experienced thus far in my career. The Southside Hospital nurse educators and staff provided me with education, engaging experiences and knowledge that I will utilize throughout my entire nursing career.”
Dana Galgano,
Villanova University
“This has been one of the most rewarding experiences of my life. You not only gain experience in both clinical practice and critical thinking, but you also get to form a relationship with your preceptor who quickly becomes an incredible mentor and role model. I was able to learn the intricate inner workings of what life is like being a bedside nurse on the floor.”
Eizle Bianca Salonga,
Molloy College
“My experience in the OR externship at Long Island Jewish Medical Centeris truly unforgettable. The action I’ve seen, the knowledge I’ve gained, and the confidence I developed is unparalleled to all my clinical rotations combined. The staff also welcomed me with open arms since day one and I truly felt like I was a part of the team.”
Erin Pasquale,
Villanova University
“My experience at Zucker Hillside Hospital as a nurse extern was extremely rewarding. This program has given me added confidence in my nursing abilities as I enter my senior year at Villanova University.”
Hannah Giannico,
SUNY Farmingdale
“This was an amazing opportunity that will not be forgotten. Every day I learned something new as I worked hands-on with my preceptor. I gained so much knowledge, critical thinking skills, and imperative lessons that will help me excel as a future registered nurse.”
Jaime Lambrinon,
Sacred Heart University
“The Nurse Extern Program not only provided me with the tools to succeed but guided me along the way. I received hands-on experience, which allowed me to utilize the skills I’ve learned with the support from an amazing preceptor. I will take this with me throughout my nursing career.”
Jessica Koch,
Mount Saint Mary College
“My experience this summer boosted my confidence and provided me with countless learning opportunities. As I progressed through my eight weeks I adapted, gained confidence and saw what nursing really is. This experience introduced me to an amazing hospital staff who enhanced my clinical skills.”
Jillian Arrigan,
Molloy College
“My externship will forever have an impact on the way I approach my career in nursing. For eight weeks in the Pediatric ICU I worked alongside the most welcoming preceptors. Not only has this increased my clinical and practical experience and confidence, but it has shown me the true importance of caring for families, in both good times and in bad.”
Katie Campilii,
Fairfield University
“This program not only made me a better nurse but a better person. With the entire staff wanting to help and teach you everything they know. I am so lucky I was able to spend this summer working in the emergency program at Northern Westchester Hospital.”
Mackenzie Nyitray,
Saint Joseph’s College
“The externship program allowed me to further build up my nursing skills. It taught me time management and efficiency. This program proved to me why I love nursing so much. Getting to do what I love at an earlier stage encouraged me to keep learning and do my best for the people I will caring for in the future.”
Nicholas Whelan,
Towson University
“The externship allowed me to build myself as a professional and prepare for employment following graduation. I have this externship to thank for skills I was able to develop this summer, and hope to return to Northwell as a registered nurse.”
Nikki Mangialino,
Molloy College
“I had an amazing opportunity as an extern working with fantastic nurses in the PACU. This program has helped me gain lifelong knowledge and confidence in my skills, how I care for my patients, and my communication with other healthcare professionals. I feel so much more confident entering my senior year of nursing school.”
Selena Sabu,
Adelphi University
“Working as an extern in the OR I got to learn what it was like to connect with patients and help them stay relaxed during their procedures. The staff was super welcoming and made my learning experience so great. I felt confident walking away with the knowledge I’ve gained and the new skills I’ve learned. ”
Check out some of our nurse externs on location:
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Faces of Oncology Care: Northwell Health Cancer Institute Research Nurses
As one of the largest cancer programs in the New York metropolitan area, the Northwell Health Cancer Institute treats more New Yorkers for cancer than any other health care provider. With the trust of so many, our oncology team members work passionately to help patients thrive.
Unique partnerships such as with the Cold Spring Harbor Laboratory, help this goal as Northwell’s research nurses have the opportunity to work on innovative clinical trials that provide patients with the most promising treatments. And beyond just providing care, their compassion is changing the lives of our patients and their families.
Meet some of our inspiring research nurses below and hear what makes them passionate about oncology research.
Having worked at Northwell Health since 1987, Diane has been a registered nurse in various specialties including post-partum, nursery, medical/surgical, telemetry, and cardiovascular.
But Diane’s interest in clinical research was always in oncology research. “I lost my oldest sister to cancer when I was 12 years old. I witnessed firsthand the impact a cancer diagnosis can have on an entire family. The respect and dignity that was shown to my sister and our family still resonates within me to this day,” says Diane. “That is what inspired me to become a nurse and Northwell Health enabled me to fulfill my dream including earning my bachelor’s degree in 2016.”
This passion for oncology care has only strengthened since she’s become a research nurse “I love working in oncology because each day I have the opportunity to make a difference in someone’s life. I come to work knowing that inside this building we have the ability to change lives forever through clinical research. Clinical research is important because it works to find better ways to prevent, detect, or treat cancer and learn new approaches to therapy.”
Beyond just the clinical trials that Diane works on every day to help improve the lives of patients with cancer, she is also a leadership committee member for the Long Island chapter of the National Ovarian Cancer Coalition (NOCC). Through her volunteering, Diane is very active in helping spread awareness of the signs and symptoms of ovarian cancer with the hope to empower women to advocate for their own health.
Her commitment to research, care and education have not gone unnoticed. In 2017 she was recognized as an NOCC Nurse Honoree as well as being recognized as the Northwell Health Clinical Research Nurse of the Year in 2018. But for Diane, it’s very rewarding seeing the impact her work has on patients.
“I look forward to seeing my patients and their families share their life stories. Seeing them celebrate milestones in their lives and knowing it is because they are in a clinical trial is a gift to me.”
Julia started her Northwell nursing career at Monter Cancer Center where she worked as an oncology research nurse on the solid tumor team. In 2017, she transitioned into a new role as a phase 1 research nurse where she cares for patients that are being treated for the first time in their trials.
Julia started as a rehabilitation nurse caring for a large number of oncology patients, and thought her skills could transition into another area of nursing. “I felt that there was something larger out there to fulfill my curiosity and desire in healthcare. Oncology is continuously changing with respect to knowledge, learning, research, treatments and opportunities,” says Julia. “I felt that this field could feed my curiosity and at the same time satisfy my desire to help my patients.”
As an oncology research nurse, Julia is always looking for new and improved treatments with a commitment to helping enhance her patient’s quality of life. In her position, Julia is able to work with innovative treatment modalities and drug combinations that have not been tried yet. “It’s very exciting and rewarding knowing that I am part of creating history.”
And her passion extends beyond research – just a few short months after starting at Northwell, she was awarded with the Patient Recognition Star. “This recognition demonstrated that even the smallest thing we do for our patients means a lot to them,” says Julia.
After receiving her Master of Science in Nursing, Shirley started her clinical research career at Northwell in 2003 initially, as a clinical research nurse practitioner in pulmonary medicine.
In 2015 Shirley returned to research and today is a clinical research nurse for the Breast/GYN Research team at Monter Cancer Center (MCC). “My mother was a breast cancer survivor and I felt this position would allow me to add a very personal touch to the clinical aspect of my job when working with and caring for patients and families,” says Shirley. “Having the privilege to participate in another person’s healthcare journey motivates me to deliver the best patient care. My mother’s journey with breast cancer reminds me that my actions can have a powerful impact on the lives of a patient and their family during an emotionally stressful time.”
Her dedication, ability to establish deep therapeutic bonds and empathize with patients was recognized when Shirley was awarded the 2017 Northwell Care Award during MCC’s patient experience week. Shirley was also invited to be a mentor in the Northwell Health Clinical Research Professional Mentorship program.
Shirley enjoys working as a clinical research nurse and because of the role’s versatility, she is able to represent Northwell Health as a member of the Symptom Intervention Committee for the Alliance for Clinical Trials in Oncology national group and also conducts breast cancer awareness information sessions in the community.
When she first started in oncology, Shirley met a patient who changed her life: “When I met the patient and her husband, she shared her personal wish, which made me feel honored to be taking part in her care. She was determined to live long enough to see her son go to his prom.” This instant connection Shirley had with her patient strengthened her passion and with each study visit, Shirley and her patient became closer and developed a bond.
“The most memorable part of her treatment was when she came in and showed me the pictures of her son’s prom,” says Shirley. “She beamed with delight as she told me how she helped her son get ready for the big night. I was overcome with a sense of joy and satisfaction knowing I had been a part of helping her achieve this goal. My role in clinical trials research had given this patient hope. I will never forget her and can never thank her enough because this patient and my mother represent that even just one moment can matter.”
Shirley says “the possibilities are endless as a clinical research nurse” and looks forward to what the future has to offer at Northwell.
Are you Made for delivering oncology care? Learn more about the Northwell Health Cancer Institute.
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Against the odds: A nurse’s journey to working at LIJ Medical Center after beating cancer
When Nicole Rivera, RN, was diagnosed with cancer at six years old, she was given only a 10% chance of living. Despite these odds, Nicole’s battle with cancer ended in triumph. “I kicked cancer’s butt and to this day, I remain in remission – 18 years and counting,” says Nicole. “Cancer took my right leg but not my life.”
It was her experience fighting cancer that inspired Nicole to become a nurse and ultimately lead her to her career at Long Island Jewish Medical Center. “I wanted to become a nurse after having amazing nurses help care for me as I fought cancer in one of the hardest battles of my life,” says Nicole. Today Nicole works as a cardiothoracic/surgical oncology step-down nurse where she finds her experience gives her a special relationship with her patients.
“My history has made me a stronger and better nurse because I know how it feels to be on the other side of things,” says Nicole. “I know what it feels like being that patient in bed feeling despaired. My story has allowed me to connect with patients on a deeper level.”
Overcoming the challenges she has had to face, including wearing an above-knee prosthetic, has reminded Nicole of the importance of remaining grounded in life and as a nurse. “It’s important to stay humble and never take health for granted. Every day we see people complain over the little things in life, while there are people out there fighting for their life.”
And it’s a fight that Nicole knows firsthand she can help patients through just by being there for them. “My favorite part of being a nurse is seeing the smile on a patients face knowing I helped make a difference,” she says. “Whether it be something as simple as filling up their water, helping escort them to the restroom or providing comfort after bad news. Their smile makes it all worth it.”
It was both Nicole’s passion and her inspirational story that led to her being nominated as a 2019 New York Mets Nurse Hero. She was recognized at the New York Mets Nurses Night game as one of ten nurse heroes for their dedication to providing exceptional care for patients. Nurses received customized scrubs and got to stand on the field during the first pitch.
Throughout it all, Nicole has always known she was made for nursing, “I put my heart into my patients every day and cannot imagine being in any other profession.”
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