CHOC at Mission Nurse Reflects on Years of Service to the Community

One of the best parts of Susan Patcha’s job as a CHOC at Mission Hospital nurse is watching parents leave the neonatal intensive care unit (NICU) with their healthy new baby.

“What keeps me here is the smile on a parent’s face as they hold their baby for the first time,” she says. “This overwhelming joy is magnified when they unite as a family on discharge day and enter the world grinning ear-to-ear.”

CHOC is grinning this month too as CHOC Mission celebrates its 25th anniversary. Opened in 1993, the children’s hospital operates on the fifth floor of Mission Hospital in Mission Viejo. The 54-bed facility is the only dedicated facility for pediatrics in south Orange County, surrounding coastal areas and north San Diego County.

CHOC Mission’s stellar reputation made joining the CHOC health system an easy decision for Susan in 1999.

“I felt right at home in the neonatal intensive care unit (NICU), and felt warmly welcomed as a part of the team,” she says. “Working with babies is the best job in the world. Working with their parents and families makes it the most rewarding job.”

Susan’s connection to CHOC Mission deepened 13 years ago. After a high-risk pregnancy requiring months of bed rest, her twins were born about five weeks early and spent eight days receiving care in the NICU at CHOC Mission.

“I felt relieved that they would be taken care of by my friends in my hospital,” she says.

Susan today with her twins, who were cared for in the NICU at CHOC at Mission.

When she returned to work after maternity leave, Susan had a keener understanding of what her patients’ mothers were feeling and she incorporated that knowledge into her care of the entire family.

“I realized before I had no idea what these women go through and how sad it is to be separated from your child,” she says. “I tried to share a little bit of my story, so they would know that I understood and was going to help them through it, and that their baby would be OK. I think it helped me be a better nurse to go through the whole experience.”

Today, Susan wears several hats at CHOC Mission. Not only is she the discharge coordinator in the NICU, but she also provides direct patient care there and she’s the lead lactation consultant.

A desire to help is among the forces that pushed Susan toward a career in nursing. Already from a family of nurses, Susan was greatly impressed by the team that cared for her father when he suffered a heart attack decades ago.

“I was inspired and amazed by the collaborative team effort that went into caring for my dad,” she says. “The actions and words of this group of nurses, doctors, and others not only changed my dad’s life, but every member of my family and our circle of friends. It was then that I decided I wanted to be a part of the health care team.”

And Susan found her home at CHOC Mission.

“We are the experts of children in our neighborhood,” she says. “We have provided a level of care to our patients and families that I believe they don’t receive elsewhere. We strive to be better and to continue to learn new practices and improve our care.”

And now with CHOC Mission celebrating a quarter century of service to the community, Susan feels great pride.

“It’s really exciting for me,” she says. “I’m proud to have been here for 18 of those years, and I’m proud that we’ve been here for the community, and that CHOC Mission was here for my family when we needed them.”

Learn more about CHOC Children's at Mission Hospital

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CHOC Nurse Follows in His Mom’s Footsteps

Growing up, Tony often heard his mom Sam talk about her job at CHOC Hospital. As a respiratory therapist, he knew that she played an important part in helping to make critically ill patients better.

When he was in fourth grade, Tony was tasked with writing a paper about what he wanted to be when he grew up. He told his mom he wanted to either join the military and be a sniper, or become a registered nurse (RN).

“I told him he was too tall to be a sniper and that he should definitely become a pediatric RN. He never wavered after that,” Sam recalls.

Fast forward to his high school biology class, when he connected with his mom over his coursework on different body systems, and some of the diseases she had seen in her 30-year career at CHOC.

“When I was younger, I would see my mom come home after work exhausted, but always with a smile on her face. She was doing what she loved and was proud that she was a CHOC employee,” Tony says. “As I got older, I saw friends’ parents stop enjoying their jobs, while my mom was still coming home happy.”

While pursuing his nursing degree, Tony was hired at CHOC as a unit assistant in the neonatal intensive care unit (NICU). On the 3:00 p.m.-11:00 p.m. shift, he interacted with day shift and night shift nurses and physicians, and occasionally floated to other units. He felt a strong pull towards the pediatric intensive care unit (PICU) for the complex and diverse patients they care for on a regular basis.

“Initially I did feel bad for Tony because the majority of his coworkers knew him as my son, and had heard stories about him when he was growing up,” Sam recalls. “I work the day shift, and I remember the day a nurse who had just switched from the night shift asked me, ‘Are you Tony’s mom?’ I said, ‘No, Tony is my son!’ I had worked here for over 25 years at the time and he had only worked here for six months! Since then, everyone on night shift has called me Tony’s mom.”

Clinical rotations in nursing school reaffirmed Tony’s commitment to pursuing a career at CHOC.

“When I was at other hospitals, I noticed a difference in both the care team and the way they interacted with patients,” Tony says. “Later, when I was halfway through the nursing residency program at CHOC, I had a sense of pride as I bragged to my old classmates from nursing school about how amazing CHOC was and how great PICU was. I knew I had found my home.”

Sam, a respiratory therapist at CHOC and her son Tony, a registered nurse in the pediatric intensive care unit

The RN Residency Program at CHOC is an intensive 17-week program designed for new nursing graduates to help them successfully transition to becoming a professional pediatric nurse.

Since graduating from the residency program last year, Tony has already made a lasting impression on patients in the PICU and their families.

Patient and family-centered care means a lot to me. I chose pediatrics to work closely with the patient as well as the family during their scary time,” Tony says. “I tell every parent as I take care of their child, that if they feel something is wrong to tell me and we’ll explore every avenue together. I always encourage them to participate as physicians are making rounds so they feel a part of the team. Working night shift, it’s important to me that my patients’ parents trust me enough to rest and take care of themselves, as I watch over their child.”

Even though Sam knew that Tony would be a great registered nurse from the time he was young, seeing him in action has filled her with an even greater sense of pride.

“Tony has always demonstrated a strong sense of compassion and a willingness to take care of others. He has a strong work ethic and an outstanding moral compass,” she says. “When I am approached by people who have just learned he is my son and they tell me how much they love working with him, it makes my heart sing.”

In their family, the admiration goes both ways.

“Knowing that my mom is a hard worker and well-respected at CHOC makes me want to live up to her standard,” Tony says. “There have been a couple of instances where we’ve worked together and it’s exciting because I’ve long heard how amazing she is as a respiratory therapist, but I’ve gotten to see it firsthand.”

Although Sam works days and Tony is just arriving for his shift as she is heading home for the night, she takes loves whenever she has a chance to see her son in action.

“I see him at change of shift receiving reports and my smile is instantaneous. He is a delightful young man and I am proud to be his mom, thrilled to work with him and honored that he chose a profession that helps others.”

Explore a career at CHOC

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My Journey to Critical Care Nursing: Gabbie’s Story

I honestly don’t remember the exact moment that I decided to pursue a career in critical care nursing. I almost feel like it’s been forever. When I was younger, I do remember spending time at my older cousin’s house, and looking through all of her human anatomy books. I was fascinated with her nursing text books. My favorite aunt in Mexico is also a registered nurse. She is intelligent, kind and was been a major support through my mother’s illness and after she passed away.

I was a troubled teen and young adult and although I was in college, I couldn’t focus. At the age of 21, I found myself in an abusive relationship and by 23 I was a single mother. I found the courage, with the support of my mother, to leave my unhealthy relationship and start a new life with my daughter. As part of this new chapter, I took a short course towards becoming a medical assistant, which piqued my interest in medicine. Once I started working full-time I went back to community college and started to take more classes with the hope that one day I’d get my nursing degree. My daughter was two years old when I started working towards that goal.

Gabbie with her daughter, who was 2 years old when Gabbie started working towards her goal of becoming a nurse. Today, Gabbie has been a critical care nurse at CHOC for over ten years.

In 1993, my mom had a heart attack and then surgery, and shortly after that we moved to California to be near family. With the support of my mom and family I worked full time and continued taking courses towards my nursing degree. During this time, I worked and saved up money to buy a small condo, while maintaining a full course load and making strides towards my dream of becoming a nurse. I’m not going to lie; this wasn’t an easy time. There were semesters that I only took one class. There were semesters that I couldn’t take any, but I kept trying. I was a mom with a mission. I had my daughter to raise and I wanted to be a good example for. When people ask me what was my driving force was, I tell them that it was Alexis, my daughter. I wanted to be an example of success to her. I wanted to show her that anything was possible. Hard work, dedication and commitment mixed with a lot of faith in God makes anything possible.

Finally graduating from nursing school has been my biggest accomplishment. As a medical assistant I worked in pediatric clinics for many years and it was always my goal to stay in pediatrics. My favorite rotation during nursing school was the pediatric intensive care unit (PICU). I loved the rush of the intensive care setting. After my first rotation in the PICU I knew that was where I wanted to be and I knew that CHOC was the hospital that I wanted to be in.

Taking care of very sick, often medically unstable, pediatric patients has been my passion, especially families who have a language barrier.  There are many moms, dads, grandmas and grandpas whose loved one is critically ill, but they can’t express themselves or their hearts to nurses or doctors due to the language barrier. That was and has been my heart’s mission, to help those families feel safe, supported and care for, just as much as we are caring for their loved one.

I am grateful and honored to be a critical care nurse at CHOC. I have cared for many patients during my time as a CHOC nurse, and I’ve developed many wonderful relationships with many of their families. I have laughed with my patients and I have shed many tears. I’ve held the hands of parents as they have said goodbye to their child when we had done all we could do.

Nursing is what I love. Nursing is what I do best. It’s where I see miracles take place.

My Journey from PICU Patient to PICU Nurse

By Jeni Arganbright, registered nurse in the CHOC pediatric intensive care unit

As a premature baby I experienced a severe lung complication that would go on to affect my early years of childhood. When I was 9 years old, I acquired eosinophilic pneumonia, a disease where a type of white blood cell accumulates in your lungs and makes it difficult to breathe. This led to some serious respiratory problems for me. My parents brought me to the hospital, where I was admitted to the pediatric intensive care unit (PICU). I had to be intubated, which means that my doctors inserted a tube through my mouth and into my airway to help me breathe. I stayed in the PICU for a month before my breathing was stabilized and I was fully recovered from the pneumonia. I later had another serious bout of this same health complication with similar results.

As a child, Jeni was a patient in a pediatric intensive care unit. That experience inspired her to pursue a career as a PICU nurse.

Since that time, I have been fine and never acquired such serious respiratory health issues. During my two stays in the hospital as a young child I was left with a tremendous amount of appreciation for the nurses that cared for me. What impressed me the most was the sincerity in which they offered their medical care for me, on both a personal and professional level. I was not just another patient for them to care for, but someone they had a deep concern for, and someone for whom they lovingly offered support. I remember the nurses worrying with my parents about my health, as well as celebrating my good days and eventual release from the hospital. I later thought what a wonderful opportunity to be in a profession where someone could come to work every day and offer sincere and caring support for both a small child as well as their family members. I wish all parents knew how much we care and also share in their emotional worries about their child.

My advice to new nurses is to do your job with the highest level of professionalism combined with openly expressing your sincere care and concern for the child and his/her parents.

Learn more about the pediatric intensive care unit at CHOC

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What I Learned While Becoming a Critical Care Nurse

By Katelyn Meitler, a registered nurse in the pediatric intensive care unit at CHOC Hospital, and graduate of CHOC’s RN Residency Program

The RN Residency Program at CHOC is an intensive 17-week program designed for new nursing graduates to help them successfully transition to becoming a professional pediatric nurse. I applied for this program because I knew that I would learn how to deliver safe, independent, timely nursing care; and how to serve as an advocate for my patients and their families. However, I learned so much more than that from my fellow new nursing graduates, from the patients and their families we were lucky enough to care for, and last but not lease from the experienced nurses who patiently and thoughtfully helped us gain hands-on experience. At our graduation ceremony, I shared these unexpected lessons with my fellow graduates.

Katelyn, a critical care nurse at CHOC

“Learn everything you can, anytime you can, from anyone you can.”

I think most of us would agree we have learned more about what it means to be a nurse in the last four months than in the previous four years of nursing school. Here are just a few lessons I’ve taken to heart during residency.

I’ve learned to care for patients the way I would my children to be cared for.

I’ve learned if you are not ahead in your tasks, you’re behind.

I’ve learned it’s okay to say, “I don’t know.”

I’ve learned to make sure my IV fluids are actually dripping before I walk out of the room.

I’ve learned that the less time I have, the more I get done

I’ve learned it’s okay to ask for help when you feel overwhelmed.

I’ve learned to listen to parent’s concerns and take them to heart. They always know their child the best.

I’ve learned it’s okay to grieve with parents when they receive bad news.

I’ve learned it’s okay to cry and show that you are human.

I’ve learned a hug goes a long way.

I’ve learned that death never gets easier no matter how many times you witness it.

I’ve learned that crying doesn’t show weakness, it shows compassion.

I’ve learned that death is what makes life so beautiful.

I’ve learned that all people cry and smile in the same language.

I’ve learned a smile costs nothing but gives much. It enriches those who receive without making poorer those who give. It takes but a moment, but the memory of it sometimes lasts forever.

I’ve learned that coffee grounds in a bowl make a patient’s room smell significantly better.

I’ve learned the importance of self-care.

I’ve learned to fill up my cup of joy so that it overflows onto the saucer for others to drink.

I’ve finally learned what makes me gag…snot.

I’ve learned the truth about what Gandhi said, “The best way to find yourself is to lose yourself in the service of others.

I’ve learned to listen.

I’ve learned that some days you feel like you conquered the world and other days like the world conquered you.

I’ve learned there is always tomorrow to try it again.

I’ve learned how much I don’t know.

I’ve learned to laugh at myself.

I’ve learned that nursing is extremely hard, but I’ve also learned that that is what makes it so incredibly rewarding.

I’ve learned many lessons through the last four months but one of the most important lessons is…. I’ve learned that I will never stop learning.

Have you been inspired by a nurse at CHOC? Nominate them for the Daisy Award

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