walking back to the school besides me i had my father edward her on his a charge and st clair hospital with a strong history of not only working at st clair but multiple different locations and different settings whether it's in the city or in nursing well it's been sort of a long journey my mom was a nurse my dad was a teacher and because at the time school wasn't really my strong point i thought  the kids from the neighborhood would always come over and my mom would look at their bumps and bruises and take care of them i sort of was indoctrinated into it if you will i also  during my freshman to junior year in high school i volunteered on a physical rehab unit in philadelphia if you know she was a school nurse but she did actually volunteered the same  hospital thomas jefferson in philadelphia so i decided that because i wanted to maybe be a physical therapist that i would volunteer in a physical therapy unit unfortunately after a couple days of being in physical therapy i really didn't think it was for me but what was for me was the nursing and what they were doing the procedure is the on hand here so that really is what started the dr  that really wasn't for me whereas i was more interested in doing a lot of the procedures things like working more on hand at the time like in the moment type of stuff where physical therapy is more rehab  and stuff like that right so you kind of have a better feel for what's going on in the emergency room oh yeah absolutely i mean at the time i didn't realize that i got a liking for that later on when i was in the navy what are their jobs like did you do before your current job right now and what were those like well when i was when i joined the navy i was a corpsman there and that's sort of like a medic or they actually perform the duties of nurses as well as physicians assistants and wall if you're not deployed with a typical unit on an operation then you have a job to do on base and mine was the emergency room well what did you see in a lot of say like physical  dorrance kind of injuries where stress fractures from the marines that sort of thing a lot of physical injuries athletic injuries that so and then earlier before this we were talking about you were working where were you say in new jersey hang around my parents house just get a part time job and go to school part time but i decided you know maybe out of just search things out so that's why i decided to join the navy and did you work in an emergency room in the  city yeah later on after i got my nursing degree after coming out of the military i went to work at home the hospital university of pennsylvania what was it like working vehicle crashes injuries caused by violence that sort and these were more these were more like formal sports these were more backyard type or sports or like on the core well yeah unfortunately  didn't see a lot of direct sports related injuries we saw injuries related from betting on sports somebody tried to welch on their bet and then violence and sued and then we would have to take care  currently work at the same clear hospital which arrests where is the eleven ok and how is that different from working from in pittsburgh working in philly it was the difference well the hospital itself is different i mean even a larger community with helicopters coming in and that sort of thing from the outskirts of philadelphia with trauma patients and of course sinclair is in a trauma unit there a local hospital community hospital do i do  enjoy working in the er and while i absolutely do emergency nursing is very fast paced it's very dynamic it's very chaotic at times and you have to like that sort of thing know you could have maybe a couple hours where you're not doing anything where and then everything explodes yeah and you work the night shifts right correct always what is the difference between working in the day versus working and i because i know you probably have some experience with work in the day yes i actually i really enjoy working at night where we are a tighter knit team and everyone helps everybody  else it's almost like working aboard a ship where everybody relies on everybody else and everybody has to know everybody else's job because you need to accomplish the objective with a smaller amount of people and smaller amount of resources with it like working  commiserating with your other team mates what kind of cases do you see in the night really anything abdominal pains people that get up in the middle of the night and trip and fall you know really it can be to trip over a dog or something that they've left on the floor that sort of thing with the most stressful thing you've seen the well i mean you know whenever someone goes into cardiac arrest where their heart would stop and online i mean that's always stressful you know because you want to save this person and do the best job as possible can you possibly run through what your for you well i mean you know check in being a charge nurse i have regulations that have been placed on some of the sporting events and that sort of thing i think that we see less injuries than we would of several years ago i think there's better equipment u nfortunately we see that adolescents these days are bigger in mass than what they were several years ago the heart of it the whole correct and so a lot of energy is produced and despite the fact of having top level equipment and safety precautions people still get hurt what injuries usually come with what sports in football of course we see some neck injuries wrist injuries ankle injuries head injuries that's really covers the gamut one night i looked out into our waiting room and i saw almost every sports uniform represented there to the room through that for me i saw hockey there we see some lacerations from skate blades we also see a lot of head injuries there basketball we see a lot of concussion or head injuries a lot of eyebrow lacerations football as i said gold wrist neck had is there anything that you know that you guys don't cover like do you guys have to send out to either a trauma center yeah absolutely when you absolutely sometimes people don't realize how injured they are but once we get pulmonary work up on them we realize that they've suffered a more traumatic injury and which would be better handled down in the city do you ever feel like people coming to you when it's completely unnecessary all the time and all excited and unfortunately you know in our society it's a very easy we want easy gratification we want it now and when your family physician says well see in a month that's not going to work for most people so they would like to come to  sure that nothing is seriously wrong with the cases you again then what do you usually see we see a lot of chest pain a lot of abdominal pain a lot of prolonged injuries that occurred quite some time ago but i mean especially with this past holiday what did you see during the christmas time oh a lot of abdominal pain from overindulgence you know a lot of lacerations that sort of giving from the  can what can we tell the audience to come in for rather than for like what should we come in for in which we're not going for well i mean any time you get injured in sports i think it's probably one of the  more prominent safety regulations that you're going to have to be seen no matter how insignificant the injury is so in that case we would see you in our fast track services more than likely and  with some of your favorite things that you enjoy about working and your as i said before the teamwork amongst the staff and in my job i've sort of not gotten away from patient care i still do patient care but  i've gotten being in charge i take care of the staff so that they can take care of the people and make sure that they have everything they need to perform their jobs well ok well thank you guys very much we're going to have a two minute break here for a little bit and then once we come back we're going to talk more about what's it like to deal with sports in the e r thank you very much sports so can you tell me what it's like to do with a concussion that comes into your how do you deal with you know well when somebody suffers a head injury sometimes there are different grades of concussion where it can be less serious meaning that they don't really recall when they were hit but they know everything up to that point and afterwards  the other more serious sort of concussions are when they can't remember what was told to them five minutes before and they keep asking what happened and so that would be a more serious head injury w usually refer them to the impact testing which most sports people will already have had a baseline impact testing so that they can compare the results after the injury to the before the injury other than had the other injuries we talked about earlier what are the more serious injuries that you see from sports well as i said some of the so i mean despite all the advances in the equipment and the regulations we still see a fair number of injuries how do you usually help these people recover is it usually a long recovery time well it all depends i mean with head injuries yes usually the recovery time requires some downtime from sports and from all activities that cause any sort of stimulation that your computer w playing on your phone to those usually long vait the situation what they want is the brain to rest and not to have a whole lot of sensory stimulation whatever all the equipment wasn't so developed to what it is now well of course you know we would see more serious injuries a lot more people would have to be transported down to the city for more serious trauma  with either impact testing depending on the injury of course it's a head injury it'll be impact testing if it's orthopedic injury they'll follow up with orthopedic doctors which a lot of sports people already have a relationship established with an orthopedic to that usually go there if they are it's of it's own related or you know that sort of thing a fracture with this winner of time what do you usually see from all these types of injuries i mean during the winter yeah a lot of hockey  which is blunt force trauma when that shoved up against the boards knocked down to the ice we see a lot of lacerations caused by skate blades from also getting hit with a puck i've seen that too so what advice could you tell these athletes really i mean in the heat of the moment when you're playing sports i think that that's not really even consideration playing safe i think a lot of adolescents are determined to reach the goal so to speak so it's an afterthought so you should just next time just do this try to take it a little less harsh i guess you can tell them that whether people actually listen to you or not is a totally different story ok that's really interesting what's like more of a common common type of thing you see in th of injuries do you usually see other than sports we see a lot of motor vehicle crashes especially during the spring because people it's the warmer weather they're thinking what am i going to do when i get home and then they're not thinking and they the back of somebody so they know what they're going to do then when they get they're going to be going to the emergency room for an evaluation i don't know how you do it the safest for us sometimes and what's like the hardest thing for you as a nurse what you know you deal with stress through in the e r a lot of humor there is a lot of joking around and that sort of thing and i and i think that reduces the stress a lot that and whenever we can we try to have celebrations for birthdays and holidays and by bringing in food and that sort of thing fickle what's your favorite part about working in  the dynamic sort of environment that you have to work in you never know what's coming in it could be an actually routine sort of night where you may get a couple cases here and there nothing too serious or emergent and then other nights you're constantly going from the time you get there to the time you leave with so they can normal night for you than a normal night would be basically people coming in and three four to tie either being admitted or discharged and everything sort of not really overwhelming compared to like more stressful nights that are more yeah it's been pretty stressful since the flu season began really because you have a lot of people coming in with influenza and what is usually having like what would you going to run through why the flu is such a big problem right now well right now i mean unfortunately they didn't get the vaccination right so as we've all heard on the media and it's only ten i think thirty percent effective so we have a lot of people coming in with just symptoms of the flu and just feeling miserable and they just want to feel better you how do we deal with this like is there a way to prevent it just really prevention is getting the flu shot because it's still provide some benefit especially if you're older or you have  other illnesses going on this is usually affecting our sports like do you think of the flu is really taking an impact on sports too you know probably well i mean a lot of the younger folk if they come down with the flu the obviously not going to be able to play sports or go to school so two things are affected their just like the workforce is affected a lot of people can't go to work and they're laid up for several days so how should we kind of treated really to be preventive not only in getting your flu shot but also to get plenty of rest i mean a lot of people they just don't rest these days they're constantly going this is our society you know and we're staying up i always say we stay up way to late at night playing on phone and watching t v on the computer really people should be getting the rest they need how do you guys do with this and that you are then with and if you someone comes in with the flu we basically just try to make them feel better we give there's not a whole lot we can do for it if it's been passed seventy two hours is the medicine that we give really isn't all that effective we try to give them fluids and to spread throughout the we're kind of running short on time ok so q tell me how you guys work together as a team because you're really telling me about working on a ship how do you guys work together whenever someone comes into the well normally they'll be announced to a room by our intake nurse and the intake nurse will determine how serious that patient is so if we hear and acuity too that's sort of serious so everybody sort of everybody goes in there q e three is pretty much what everybody is when they come in with their abdominal pain flu symptoms so it's kind of like a level of like serious career in a way and acuity for courses like a fast track or a like a minute clinic type me force trauma to the abdominal area or chest area that's always serious so what do you guys usually do in that type of situation if we have a hypothetical situation we usually put in some of these and get some lab work going and if it's a chest trauma we get an e k g which shows your heart rhythm and then we whisked off to cat scan to see what internal injuries you may have suffered during your sports i mean you definitely see so many of these types of sports case with teenagers does that do you kind of include your nurse life with your actual kids and how you treat them yeah unfortunately most e r nurses will tell their own children just to suck it up because there's nothing wrong i want to i wonder how i know that he's going to say as you know first ahead that's really cool so we're kind of running low in time so thank you everyone for today and thank you mr her daughter or dad thanks for her and for us about the experience you have with not only people and what to do in certain situations and how to prevent them and thank you to everyone for watching the school good