Behind the Mask: Working as a Respiratory Therapist during the COVID-19 pandemic
Written by: Drew Devlin, RRT, LRCP, Director, Respiratory Care / Sleep Lab / Pulmonary Rehab, Southside Hospital
To say that the respiratory care team was instrumental throughout the COVID-19 pandemic would be an understatement. Although the respiratory care team has always been critical in patient care, it was in this pandemic battling a respiratory virus that the team had a moment to shine, and that is just what they did. Our respiratory therapists have touched every patient in one way or another by providing oxygen, running blood gasses, participating in intubations, managing ventilators, transporting patients to CT scans, and from emergency rooms to other critical care units. We have also been part of the process to meet the challenges of converting noninvasive ventilators into units that were now able to provide invasive applications. This team has truly been front and center playing a large part in caring for our patients during this period in an innovative way.
As the leader of the respiratory care team, I am truly proud of the work they did and how they stepped up to the plate during this difficult time of need. In order to deliver care during the outbreak, the work of the team evolved quickly and continued to change throughout the pandemic. Essentially, our normal process and daily responsibilities were completely revamped to adjust to the high volume of patients and the level of care we were providing to our patients. New policies, processes and protocols were developed rapidly and the respiratory care team was able to play a crucial role in the strategy and development of the new responsibilities. With respiratory therapists being so vital due to the nature of the illness, it gave them a great sense of purpose to be able to step in and provide their expertise. These healthcare heroes were truly able to make a major difference.
Respiratory care team members used posters to leave inspiring messages to each other throughout the pandemic.
Throughout stressful work conditions and long hours, team members found moments of hope and motivation by standing united together. I watched as they came to work every day with pain in their eyes and concern in their hearts for their patients, their colleagues, and their families, and yet they continuously provided the best care possible. There was camaraderie and collaboration throughout the whole process, and they really showed each other what it meant to not only be a team, but a family. To keep our spirits up, we would take time to share positive results of patients and track successful outcomes even after they left our care. There was also constant communication through emails, text messages, and postings on the walls throughout the department including pictures of the team hanging up as a constant reminder that we were all in this together. I also looked for articles on motivation to provide to the team and had the Chaplin come speak to the team in an effort to provide hope during this difficult time.
As a team, we also tried to talk about our experiences and share what we were going through to help each other out and know that we were not in this alone. We also brought in additional resources in the form of respiratory therapists from outside of the organization, to provide extra support and helping hands. This also enhanced motivation amongst the team because there was a realization that we were in a global battle, us versus the virus, and our best chance was to have all hands on deck and work together as a united team with respiratory therapists from near and far. It was also comforting and reassuring to see frequent visits from the senior leadership team to see how the team was doing, ask if there was anything we needed and how they could assist in any way.
The whole respiratory team exceeded expectations during this time, and I know this experience has made them stronger and even better than before. Each and every person on this team is my hero and we always consider ourselves a team and a family. Together, through this experience, they rose to the occasion and I am proud of the entire team for the work they have done and the care they have provided.
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Joining the fight: Meet Alison Laxer, MD
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.
After graduating early from the Zucker School of Medicine, Alison Laxer, MD, is entering the effort to care for COVID-19 patients.
March 25 is a day I will never forget. Not because I celebrated my birthday with my family, but because I learned something that would change my life forever.
Late that Wednesday evening, I received a message about a Zoom virtual meeting with Lawrence Smith, MD, MACP, dean of the Donald and Barbara Zucker School of Medicine, where I was well into my fourth year. We usually don’t have meetings with the dean like this, but under the current circumstances, anything was possible. Dr. Smith told us we are graduating early and have the option to join the fight against the coronavirus.
My parents, who are both physicians, were nervous. And rightfully so. Who would want their child to voluntarily be exposed to COVID-19? But they understood and would’ve taken the opportunity to do the right thing if they were in my situation. We are physicians after all. This is what we signed up for.
My boyfriend, Alexander Smith, MD, who is also in my class, had similar feelings about the decision — he said we can be a part of history. We both decided independently, and it was never a question of if to do it, but when do we start?
The truth is, I will start in a few days. I finished virtual training earlier this week. Fear. Excitement. Concern. There’s a wide range of emotions flowing. We know we won’t see our families. We know we should avoid highly populated places like grocery stores. But we also know that we can help make a difference for so many struggling with the pandemic.
They say your fourth year of medical school is supposed to be a glorious time. Alex and I had plans to go to Europe, then the Caribbean, then to my cousin’s home in Chicago. It was supposed to be a time to really relax and rest before starting my residency at Cohen Children’s Medical Center. It’s strange that I will be spending this time at a hospital rather than a beach. But if this is what is needed, I’m going.
To say I’m scared would be an understatement. This is something we have never done before and I think I’m more nervous about not being very helpful. I know Northwell has plenty of personal protective equipment. And I can see the camaraderie among staff who are celebrated and sharing their experiences in the media. I just want to play my part.
This virus has touched so many lives. I never thought being a doctor was a hazardous profession, not like a firefighter or policewoman. But we will be exposed and our mission has never been greater. Hopefully, this will encourage more people to go into medicine.
Alison Laxer, MD, is a recent graduate of the Donald and Barbara Zucker School of Medicine. After assisting in the fight against COVID-19, she will assume her pediatric residency.
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Day in the life: Central Sterile Processing Technician
Instrument sterilization is a vital step in any surgical procedure, but you may not always think about what goes into the process – or who’s doing it. At Northwell, we know our sterile processing technicians are invaluable members of our operating rooms. These technicians handle the sterilization of our instruments from decontamination to dispatch all inside our new centralized facility in Bethpage, NY. Working in the world’s largest sterile processing center, our technicians provide around-the-clock services using the most innovative technology available.
“Our new central sterile processing facility was built with the comfort of our sterile processing technicians in mind,” says Marc MacLaren, RN, BSN, MSN, program director of System Sterile Operations. “As we continue to grow and refine our procedures, we listen to their feedback. The work our technicians do every day is changing the way people look at sterile processing and defining the future of where the industry is going.”
Follow a day in the life of some of our sterile processing technicians at our new state-of-the-art central sterile processing facility in Bethpage.
Step 1: Surgical instruments are brought in for the decontamination team
The first step of sterilization is decontamination. With the facility servicing operating rooms from hospitals all across Northwell, it’s important for our central sterile processing technicians in the decontamination room to handle each delivery promptly and efficiently. The technicians soak the trays as they come in, hand washing them before placing them on the cart to go through the automated sterilized washers. “I love working in decontamination because we’re one of the most vital parts of the process of sterilization,” says La’Queen Burrell, sterile processing technician.
Step 2: Instruments are unloaded and tracked through automated systems
After the instruments go through the washing cycle, a sterile processing technician unloads the clean instruments from the machine into the ‘clean room’ which is kept sterile to protect the instruments. Each tray is processed through a barcode system so it can be tracked throughout the sterilization process. “My favorite thing is how organized our team is to keep things running smoothly,” says Libin John, supervisor, central sterile. “It’s also great knowing our work is helping patients even though we don’t have a clinical degree.”
Step 3: Sterile processing technicians sort trays to create priority order
The washed trays are then sorted in priority order. And with the facility’s capacity to handle a maximum of 22 million instruments a year, our technicians know the important role keeping the trays in priority order plays in ensuring prompt delivery back to the hospitals. Caprice Morgan, lead sterile processing technician, places the trays on shelves to mark them for the proper turnaround time. “I love working as a sterile processing tech because you are always learning new things,” says Caprice. “Every day is a new opportunity to grow.”
Step 4: Instruments are counted and passed through a safety test
Once the trays are separated, the instruments are counted, inspected and placed for packing by our technicians. It’s a vital step to make sure that the instruments are not only accounted for, but properly hand-washed and still maintaining their integrity. “It’s great being able to work on the instruments and know that even though you’re not in the operating room, you still are a part of the surgery helping that patient,” says Kevin Vega, sterile processing technician.
Step 5: Team members package the instruments for sterilization
Clean instrument trays are then packaged by the technicians. Packaging the instruments keeps them safe for when they are placed into sterilizers to finish disinfection before their return to the hospitals. The work spaces in the new facility allow for plenty of room for packing the large trays and individual instruments. “At the new Bethpage facility there’s more room to work and more space for everybody” says sterile processing assistant Patty Guess, who transferred to the facility from a Northwell hospital in April.
Step 6: Instrument trays are sent into the sterilization systems
Now that the instrument trays have been packaged, they’re ready for the final step of sterilization. Sterile processing technicians track and check the trays before placing them in autoclaves (which use steam at high temperatures to sterilize) or into low temperature sterilizers (which use low temperatures and gas to ensure missing something here) depending on the needs of the instrument. “This is my favorite spot to work because it keeps me on my toes,” says Gregory Thurneau, sterile processing technician. “I did it for eight years at Long Island Jewish Medical Center and now being able to do it at the Bethpage facility gives me an opportunity to expand my horizons.”
Step 7: Technicians sort the trays for hospital dispatch
Trays are passed directly through the sterilization systems built into the wall moving them from the ‘clean room’ to dispatch. There they are prepared for delivery back to the hospital. Once the trays have been tracked and accounted for, sterile processing technicians sort them into their respective cabinets for the transport teams. “It’s an important part of making sure the hospitals are getting their trays on time,” says Thomas Varkey, sterile processing technician. “Being part of that helps me make sure the patients get the care they need when they need it.”
Interested in becoming a central sterile processing technician? Explore job opportunities today!
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Certified Sterile Processing Apprentice Program celebrates its first graduating class
As part of our commitment to growth, development and education, Northwell Health partnered with the 1199SEIU United Healthcare Workers East and the 1199 Training and Employment Funds to create a new Certified Sterile Processing Apprenticeship Program that is registered with the Federal Department of Labor (DOL).
Due to our new Certified Sterile Processing Apprenticeship Program, Northwell Health 1199 team members from various departments across the organization had an opportunity to train in a new specialty and grow their careers. Team members were provided with the education and training they needed to become a certified sterile processing technician (CST), including the support in preparing for the certified registered central service technician (CRCST) exam so they could earn their national certification. Thanks to the partnership program, Northwell was able to provide employees with paid training in addition to free tuition, books, exam prep and other classroom materials.
We’re proud to announce that all 11 of our program participants passed the exam and all received full time positions at Northwell Health.
“The apprenticeship program has opened doors for employees who otherwise may not have had the opportunity to advance in their field,” says Marc MacLaren, RN, BSN, MSN, program director of System Sterile Operations. “It allows us to ‘grow our own’ within healthcare and empowers individuals in our organization who otherwise might not be eligible for technical professional careers.”
“This program helped me achieve a goal in my career,” says Gabriel Taveras, a recent graduate. “I started as a housekeeper and now I’m a certified central sterile technician. It has changed my life.”
Students in this unique program are prepared for their career with:
- 200 classroom hours
- 400 hours of on-the-job training
- 600 additional on-the-job hours to earn the Federal DOL certification
Upon graduation, students earned:
- CRCST certification
- LaGuardia Community College Adult Continuing Education Certificate
- Federal DOL Certificate
“I was given an opportunity that will change my life for the better,” says fellow graduate Candice Thomas. “I’m grateful that Northwell and 1199 believed in me. The possibilities are endless. Because I stepped outside of my comfort zone and learned what it meant to be a CRCST, I now have a great career.”‘
View some photos from our graduation celebration:
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5 STEM healthcare careers for students to explore
The need for students to pursue STEM (science, technology, engineering, and math) careers is greater than ever and for good reason. Between 2000 and 2010, STEM-related jobs grew three times as fast as non-STEM jobs – a rate projected to increase.
You may be left wondering what STEM jobs you can pursue. STEM careers go beyond just being a doctor or an engineer – the opportunities are endless! So what are some of the major STEM careers you should be exploring?
1. Imaging
Imaging technologists are Allied Health professionals that complete a two or four year program from accredited college. Graduates are licensed by the NYS Department Of Health or registered or certified in a sub-specialty area to perform diagnostic imaging examinations. Using the most advanced imaging equipment, imaging professionals are trained to produce high-quality images that enable the Radiologist (physician) to make a critical diagnosis. Without their expertise, care teams wouldn’t be able to diagnose and treat patients effectively.
You can enjoy the flexibility to choose additional specializations such as computed tomography (CT), ultrasound, nuclear medicine, mammography and more. And as an imaging professional, you’d have the ability to work in a variety of settings such as hospitals, diagnostic labs, and ambulatory centers.
Careers to consider:
- Ultrasound Technologist
- Radiology Technologist
- CT/MRI Technologist
- Mammography Technologist
- Nuclear Medicine Technologist
- Special Procedures Technologist
2. Certified Surgical Technologist
Surgical technologists have the important task of prepping patients for surgery and ensuring the operating room’s equipment has been sterilized and properly stocked with supplies. Your job as a surgical technologist doesn’t end there – you’d remain in the OR to assist surgeons throughout the surgery and then help to dress wounds. At Northwell, Registered Nurses and the Certified Surgical Technologist function as a subunit within a team, interacting through a unique, dynamic relationship—one sterile role and one nonsterile role, working in collaboration.
Job opportunities for surgical technologists are on the rise as the growth in population and technology leads to an increase in the frequency of surgical procedures. Completing a surgical technologist certification program usually takes around two years, allowing you the unique chance to quickly scrub into your first surgery after school.
3. Research
Becoming a doctor or nurse isn’t the only option for science majors to join the healthcare industry! Research careers enable professionals to work in programs and partnerships that help study, test and improve clinical breakthroughs. Medical research also includes working on some of the most exciting technology to treat disease and injury, such as bioelectronic medicine. Not all research careers are clinical either – as a medical researcher you can work in engineering, statistics, and more.
Join together research and technology as part of a team working on cutting-edge discoveries in areas such as health outcomes research, translational science, behavioral science and more. As a member of the research team, you’d also have the ability to work on breakthroughs in major diseases from cancer to lupus to sepsis. Your work could help discover new treatments, therapies and technologies for patients to live a healthier life.
Careers to consider:
- Associate Research Statistician
- Post Doc Research Trainees
- Investigator
- Research Coordinator
- Electrical Engineer
- Computer Scientists
- Neurophysiologists
4. Telemetry Technicians
Telemetry technicians, also called monitoring technicians or electrocardiograph technicians (EKG or ECG), are important allied health professionals. These technicians use non-invasive electrocardiographic equipment to monitor patients’ heart rhythms and alert nurses and physicians to changes in the patient’s rate, rhythm and the occurrence of dysrhythmias while on the Telemetry Unit.
Working as a telemetry technician allows you to work within a hospital using advanced technology. There are also increasing opportunities for you to deliver compassionate care to patients within a hospital or ambulatory setting. And training programs prepare you for entering the healthcare industry in just a few months!
5. Clinical Laboratory Scientist
To become a clinical laboratory scientist you must obtain your bachelor’s degree from an accredited clinical laboratory science program, pass your ASCP national certification exam and then become licensed by New York State Education Department (NYSED) to practice. As a clinical laboratory scientist, you can work in exciting fields such as:
- Microbiology
- Hematology
- Cytogenetics
- Chemistry
- Molecular Diagnostics
- Blood Bank
- Immunology
- Flow Cytometry
Fun fact, Northwell has two brand new, state-of-the-art labs. Our Core Lab/Automated Lab is the largest health system-based lab in the region with the largest Roche automated line of its kind in North America, and one of the largest in the world. Our new Microbiology Lab that has the largest Kiestra Micro automated line in the U.S!
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Meet our Truly Ambitious Pediatric NP Andrea Orbon
This post is part of a blog series highlighting Northwell Health’s ACPs – Nurse Practitioners and Physician Assistants. Each Northwell Health employee was nominated by their manager as an individual that exemplifies one of Northwell Health’s values. This month, we’re proud to introduce you to Andrea Orbon, who is a Truly Ambitious Nurse Practitioner. Hear her story.
Andrea Orbon CPNP has always considered herself a very ambitious person. After being a pediatric nurse, she pushed herself to become a nurse practitioner (NP) so she could do even more for her patients and their families. “As an NP, I’m here not only for the patient, but for their parents as well. I’m not only the diagnostician, but I’m their friend. I’m here to listen.”
Since starting her career with Northwell Health in 2014, Andrea has maintained valuable connections with her patients and their families as they’ve grown, even caring for her former patient’s children. Andrea empathizes with her young patients and their families. Her commitment to her work is inspiring. “It takes dedication to your profession, regardless of your position, to ensure you are still there for your patients. What’s nice about our practice is your patients become part of your family,” she says.
Though she’s been in the field for years, Andrea continues to push for new ways to connect with her patients. She’s helped orchestrate visits with local offices to develop a personal connection with doctors. This opens direct lines of communication, builds relationships with other doctors and, eventually, leads to referrals. Andrea goes above and beyond when building relationships with doctors and patients, and she frequently visits the hospital nursery during her rounds, on weekends, and on her days off to provide care to newborns and their parents before they officially become her patients. Andrea says, “I’m proud of this office because most pediatricians don’t take the time to go to the nursery, but we take efforts to be there at that first moment to deliver continuity of care.”
Andrea feels that the way she makes a difference as an NP is to fight for services that children need today. These services include early intervention, anxiety management, and working with schools and psychologists that serve as the liaison between behavioral and psychological care. “As an NP, we do more because we are the connecting piece between all the care delivered. We’re nurses first, and then NPs. We’re there for the patient and the family, which helps us treat the whole picture and not just the specific case. Continuing our personalized care and taking the extra step or making the extra call that’s needed to provide the patient with what they need, especially with kids who need early intervention or have school issues, makes a big difference in their daily lives.”
Being Truly Ambitious inside a large health system means going beyond delivering quality care. It means focus on personalized care that’s more than a quick check-up, and it’s dedicated service that accounts for patients’ whole selves, now and in the future. Andrea’s work is the definition of Truly Ambitious, and we are proud to call her a member of our Northwell Health family.
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Inside Northwell: How to Stand Out While Applying for Jobs in 2018
At our first Inside Northwell Facebook Live session, we sat down with members of our Talent Acquisition team who gave the best tips for candidates looking to join our team in 2018. Check it out!
1. How can candidates stand out while applying for jobs in 2018?
My best piece of advice would be to only apply to positions that you meet the minimum qualifications for. With the volume of applications we receive we can’t contact everyone and we are contacting only those who most closely match the department’s specific needs. If you don’t hear from us, you will remain in our database and we can contact you for other positions you are suitable for. Just because you were not the right match for one, does not mean you wouldn’t be the right match for another so don’t lose faith – the needs vary from department to department.
-Elaine Strauss, Executive Recruiter, Talent Acquisition
2. How can they make their resume stand out throughout the bunch/mix?
Your resume is a living breathing document so you can make changes as you learn or develop new skills sets throughout your career, even if you are not currently looking for a new job. Make sure you mention the special project that you have taken and the impact to the organization because it’ll show you ambition to make a direct impact. If you are looking for a new job, always remember, the job description is your friend – use the information provided to help you craft your resume and use the keywords they have listed within the job description in your resume too. If your previous experiences don’t exactly match the job you are looking for, don’t forget to add the transferable skill sets you’ve learned. (ie: “Customer Service” is really “Communication Skills”)
-Arthur Beechman, Clinical and Non-Clinical Recruiter, Talent Acquisition
Remember to add keywords. We have advanced technology that we are using to source through a variety of candidates. If you have the keywords within your resume our searches will be able to match with yours and pull up your information before someone else’s. Also, remember to send the final version of your resume. You wouldn’t believe the amount of resumes we receive with a coworkers/family members/metors edits on them. Always double check!
-Elaine Strauss
If you’re updating your resume, as you should be all the time, make sure that any past experience is referred to in past tense. If it looks like current tense language for a position you held 3 years ago, we notice that and it shows less attention to detail. Also remember to quantify information. If you work for an organization that we aren’t familiar of, it’s very helpful to a recruiter to have some sense of how large that organization is, adding the number of direct reports (if any) you have, if you’ve saved the organization any money and how you achieved that – this will help us quickly understand who you are and what you do for what type of organization.
-Esther David, Director, Talent Acquisition
3. What makes a candidate “made for Northwell Health”?
4. What are the most appropriate ways for them to follow up with recruiters?
5. What is your last piece of advice for our candidates?
Check out our Inside Northwell page to learn more.
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If you are an individual with a disability requesting an accommodation for the application process, please click the contact us link above to request assistance.
© 2020 - Northwell Health
Click here to view the “EEO is the law” poster
If you are an individual with a disability requesting an accommodation for the application process, please click the contact us link above to request assistance.
© 2020 - Northwell Health
Click here to view the “EEO is the law” poster
It is the policy of the organization to provide equal employment opportunity and treat all employees equally regardless of age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, genetic information or genetic predisposition or carrier status, marital status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
