Fankhauser is a mom of three in
addition to being a NICU nurse. She takes time every year to make the Halloween
costumes herself. According to her coworker Alanna Gardner, Fankhauser uses
Pinterest and the baby’s different personalities to decide on the perfect
costume for them. She usually begins designing the costumes in the Spring and
ends on Halloween day.
Fankhauser never repeats a costume. The
costumes take anywhere from a few hours to a full day to make. The costumes are
gifts; families are able to take them home as keepsakes of their child’s first Halloween.
Holidays can be particularly hard for families with children in the NICU, which
is why Fankhauser goes to the effort of bringing the Halloween spirit to the
hospital’s tiniest patients.
Gardner tells fox5atlanta.com, “What started out as a hobby has quickly become a hospital tradition that brings joy to our families and staff.”
To learn more about Tara Fankhauser, a
neonatal intensive care unit (NICU) nurse at Children’s Healthcare of Atlanta
who crochets Halloween costumes for the hospital’s tiniest patients, visit here.
Just before a series of major climate change rallies were held in cities across the US, the journal Creative Nursing published a special issue on climate change. We spoke with special issue editor Katie Huffling, MS, RN, CNM and contributor/editorial board member Teddie Potter, PhD, RN, FAAN to learn more about climate change as a public health issue, and why so many nurses are attending these rallies and speaking out.
climate change important to the mission of the health and nursing professions?
TP: In nursing we are charged to create environments for people to be the healthiest individuals and communities that they possibly can be. Climate change threatens that. It threatens our patients and communities on multiple levels. The health impacts of climate change are severe and serious, and they’re happening right now. So that why it is important for us to address this as nurses.
longer happening in some parts of the globe, or in some
geographic areas; it’s happening everywhere. Unfortunately, it tends to have
the greatest impact on communities that are already struggling to be healthy. If
I am already challenged by being homeless, for instance, not having access to
AC or heating can lead to real [health] problems, and we see people with such
challenges often suffering worst and first from climate change.
And it’s important to point out that yes, the planet is warming but the impacts are very variable. Places that used to be cool are getting hot; some places that were usually dry are getting very wet. It’s the shift in patterns that has definite health consequences. In California, for instance, you might be more apt as a nurse to be aware of the impact of fires on the air quality affecting individuals and families and people who work outdoors.
But isn’t climate change a political issue? Why should nurses get actively involved?
TP: I hope we have made it very clear that climate change is not a political issue, any more than people having adequate food or clean air should be a political issue. It’s a health issue. And we need all people regardless of their political affiliation to be part of finding solutions and part of finding a healthier future for everyone.
KH: The Lancet has been publishing for the past few years an analysis of climate change and health and they are very clear that climate change is the biggest public health challenge that we face today. It’s a health issue, and the future of our children is at stake.
Are nurses already
seeing health issues connected to climate change?
TP: In Minnesota, we’re seeing changes in our vectors. We see more [outbreaks of] Lyme disease and West Nile disease; we see more people affected by flooding and loss of housing and livelihoods related to flooding. Farmers can’t get their crops planted on time [owing to flooding] and they can’t get their crops harvested on time, so we’re seeing impacts in that area. Health care providers need to understand that there are things we need to be considering in order to protect our patients and teach families and to ensure that if a disaster is likely, that people have a plan. For example, we need to ask “What are you going to do when category 4 and 5 hurricanes come into your area?”
KH: One thing I would add is that no matter what type of nursing you do—whatever your patient population is—there’s some way that climate change impacts that population. For example, when you have extreme weather events, and you have renal patients, are they going to be able to get dialysis? Nurses working in that area have been real leaders in working on emergency preparedness. The same goes for oncology nurses—are your patients going to be able to get their cancer treatments in a timely fashion. There are some things when you first think of them, you don’t realize how it really does span any type of patient population.
“We need to be planning for these people.”
TP: Also, there are community nurses worrying about patients who are homebound and in need of oxygen and other things that require a steady source of electricity. We need to be planning for those people. What do you do when flood waters rise, and you can’t get out of your house because you’re wheelchair-bound? And your caregiver can’t come because they’re stuck [in the flood] where they are, and you can’t even get out of bed? All of these things have to be thought about.
KH: As an example of that, here in DC it’s gotten better because the local utilities have been addressing it, but there were lots of power outages accompanying extreme weather events during the summer. And when families with children on ventilators at home don’t have electricity for a few days, they end up having to take up an ICU bed because they’re not able to be on just a general floor.
TP: As a state that has a significant rural population, [In Minnesota] we are also concerned about people working outside who harvest and pick the crops. We’re concerned about dehydration. A while ago one of our Minnesota Vikings players died from heat exposure and dehydration at the Vikings summer training camp. This is not something that we’ve had to think about in the past. Hot and humid days can impact even young people in peak condition and we are having more and more days with high heat and humidity.
Are today’s nurses
following in Florence Nightingale’s footsteps? Was she the first activist
TP: She was an activist but also a scientist. She was deeply committed to evidence-based practice and she was a brilliant statistician. She really looked at the environment as doing the healing for patients. As she said in Notes on Nursing, “medicine and surgery can remove obstructions… nature alone cures.” And she was a great believer in and taught about the importance of good food, adequate hydration, mobility, cleanly environments, and exposure to fresh air.
In the Crimean war what got her started was that they were seeing more people dying from the care they received in the hospital than from the injuries they received on the battlefield. So it was a care issue and that was what marshalled her and other women at that time to go to Turkey and set up an alternative way of caring—fresh air, clean sheets, adequate food—and people started surviving. It is deeply at the core of the nursing profession: we work with the environment to put people in a position to recover and have a quality of life. Nurses are on the move following the same principles today.
How can nurses get—and how are they getting—involved in the movement to reduce effects of climate change?
KH: I think there are a number of points of engagement. Nurses are really can-do people. When they find a problem, they want to fix it, and so when you start to learn about climate change and its effects, it is natural to immediately want to get engaged.
I think this is a great opportunity for nurses to get together—you know, strength in numbers—to elevate this issue and use our position as America’s most trusted profession to talk about it. Also, [it’s important to] meet with policy makers—whether it’s at the state, national, or local level—when you can speak with elected officials and help them to make that health and climate change connection. Because a lot of elected officials still don’t understand that it’s a health issue and if they want to protect the health of their constituents it’s an issue they need to be taking on.
And, it’s been very exciting to see so many nurses doing things like going to the different climate marches. It’s another way to show that nurses are leaders in the area around climate change. One of the things my organization (ANHE, the Alliance of Nurses for Healthy Environments) has been doing is we’ve created a nursing collaborative on climate change and health. This came out of a round-table we did at the White House during the Obama administration where we had around 20 nursing organizations and unions at this round table talking about what nurses can do about climate change and health. It was a really historic event. We were the first group of health professionals that they had reached out to at the time to do something like this.
After that, we decided we needed a strong collaborative effort, and that is how we created the Nursing Collaborative on Climate Change and Health. We have 11 organizations, and a couple more really large organizations about to sign on. Working together we show visible leadership among the nursing community as well as among policy makers.
nurses find out more about the impact of climate change?
KH: Well, at ANHE (Alliance of Nurses for Healthy Environments) we have tons of resources on the website, lots of free tools for nurses to engage. We’ve got talking points, academic databases and case studies, resources for pregnant women and children, and much more.
We’re also part of the Nurses Climate Challenge, in which ANHE’s partnered with Healthcare without Harm. Basically in the Nurses Climate Challenge we have Nurse Champions that sign up on the website. The champions then go out and educate their fellow nurses and other healthcare professionals about climate change and health. They have a really robust toolkit with PowerPoints with notes and posters they can customize if they want to make a presentation at their monthly nursing meeting. Then we track each event: if someone does a presentation, they note how many attended. The first year we had a goal of 5,000 nurses and other healthcare professionals educated, but we quickly grew past that so we decided to up our goal to 50,000 nurses educated by 2022. And we just started that a few months ago, and we’re already past 10,000. It’s exponentially growing!
“It’s an amazing opportunity to prevent disease.”
I’d like to bring in another positive note: this is also the greatest opportunity that we have to impact public health. These things that we can do to affect climate change can have a widespread positive impact on health. It’s an amazing opportunity to prevent disease. And I think that that’s another core feature of nursing practice—that we want to see our patients become healthier and to not have to be treating them for these preventable illnesses. When we address climate change we can have such a positive impact on health.
TP: I’ll just add in that the dean of the Minnesota School of Nursing has appointed me the first Director of Planetary Health for the school, so that nurses can learn to apply what we do to care for the environment so that our patients and our communities will be healthier.
Professional Practice in a Changing World: The Changing Climate
In this special issue of Creative Nursing, vol. 25-3, featured articles include “In Nightingale’s Footsteps—Individual to Global: From Nurse Coaches to Environmental and Civil Society Activists,” “Planetary Health: the Next Frontier in Nursing Education,” “Beyond the Slogans: Understanding the Ecological Consciousness of Nurses to Advance Ecological Knowledge and Practice,” and more…
advanced to the ‘American Ninja Warrior’ finals in Las Vegas during filming in
August, and competed to win the $1 million grand prize. The final four episodes
aired throughout September, and although Howard didn’t win, she says she will
be back for more in the future.
collegiate career as a gymnast helped Howard prepare physically, but she says
the intensity of being an ICU nurse has prepared her mentally for the challenge
of competing on a reality competition show. Contestants aren’t allowed to
practice on the ninja warrior course so their first time on the course is in
front of an audience as they make split-second decisions in high-pressure
situations on an unfamiliar course. To Howard, it feels much like her day-to-day
job in the ICU.
Howard tells modernhealthcare.com, “Life can change so quickly and it motivated me to not stand still and be grateful for every moment I have.”
Finding a passion outside of her demanding 12-hour shifts in the
ICU has also helped Howard become a better healthcare provider. She finds fulfillment
in the training and it makes her a more confident provider for her vulnerable
To learn more about Mady Howard, an ICU nurse who says the
unpredictable nature of working in the ICU helped her train to be on ‘American
Ninja Warrior,’ visit here.
Our Nurse of the Week is Cami
Loritz, an intensive care unit (ICU) nurse from Wisconsin who donated part of
her liver for a transplant
that saved an 8-year-old boy’s life. Loritz is an ICU nurse at Froedtert
Hospital in Wauwatosa, Wisconsin.
The boy’s mother,
Ruth Auten, says she now considers Loritz a part of their family. Auten’s son,
Brayden Auten, was diagnosed with an aggressive
virus that was attacking his liver this past April at the Milwaukee
Children’s Hospital. Brayden’s parents were devastated to learn that their son
was in need of a partial liver transplant.
Desperate to find
a donor, they shared Brayden’s story online. They were flooded with positive
responses, but no one who reached out was a match. Then Loritz showed up, a
perfect match, and Brayden’s doctors immediately moved forward with the
was able to go home in July and is now preparing to return to school as a
healthy 8-year-old. Brayden and Loritz showed off their surgery scars in a
photo shoot, which shows them wearing matching shirts and wide smiles.
Brayden’s parents told People.com, “What she did was completely selfless and she saved his life, plain and simple. We can’t thank her enough. She’s a true miracle. We consider her one of us, one of our family.”
To learn more about Cami Loritz, an ICU
nurse from Wisconsin who donated part of her liver for a transplant that saved
an 8-year-old boy’s life, visit here.
Our Nurse of the Week is Karin
Huster, a Seattle-based nurse and field coordinator for Doctors Without Borders.
Huster spends six to 12 weeks at a time away from home, helping the world’s
most vulnerable populations. Most recently she was in the Democratic Republic
of Congo (DRC) helping battle Ebola outbreaks.
Even though she regularly encounters dying patients, Huster tells seattletimes.com, “It’s the best job in the world. And I don’t mean this lightly…My goal in life is nothing else but to try to improve people’s lives.”
Ebola has killed over 2,000
individuals and sickened almost 3,000 individuals in the DRC since August 2018.
The World Health Organization declared the outbreak a global health emergency
in July 2019 while Huster was on her fourth trip there.
Helping those in need has been
Huster’s dream since she was a child. She grew up on Réunion
Island, a French island in the Indian Ocean, and in 1991 she moved to Seattle
for a job translating English to French for Microsoft. Feeling unfulfilled, she
left her job at Microsoft to enroll in nursing school at the University of
Washington (UW). She spent eight years as a nurse in the intensive care unit at
Harborview Medical Center before going back to UW to earn her master’s degree
in global health. In 2012, Huster went to Lebanon on a trip with UW to work
with Syrian refugees. It was there that she found her passion for traveling to
help the world’s most vulnerable populations.
learn more about Karin
Huster, a Seattle-based nurse and field coordinator for Doctors Without Borders
who considers her job battling Ebola outbreaks in Africa the “best job in the
world,” visit here.
of the Week is Kayla
Miller, a critical care nurse from Dayton, Ohio who performed CPR
on victims of the shooting that occurred early on the morning of August 4.
Miller was fleeing the Ned Peppers Bar after hearing gunfire ringing out when
she spotted victims who had been shot. Putting her own life in danger, Miller
stopped to perform CPR on the wounded victims on the sidewalk.
Miller was at the Ned Peppers Bar celebrating a friend’s 25th
birthday. As she was attempting to flee the scene for her own safety, she felt
compelled to stop and help in any way she could. According to Miller, chaos
ensued after hundreds of people in the area heard the shots.
Miller tells NBC’s TODAY, “I look down the sidewalk and see just a row of bodies. People shot, some alive, some not. I’m grateful to be able to be alive and talk to my family and friends and tell them I’m OK, but my heart breaks for these families.”
Nine people were killed in the shooting and 27 were injured
after a 24-year-old opened fire outside the Ned Peppers Bar in the city’s
popular Oregon district just after one o’clock in the morning. It was the
second mass shooting in the United States in less than 24 hours, following a
shooting at a Walmart in El Paso, Texas the day before that left 20 people
To learn more
about Kayla Miller, a critical care nurse who performed CPR on victims
of the Dayton, Ohio shooting on August 4, visit here.