{"id":1752,"date":"2020-07-14T17:29:48","date_gmt":"2020-07-14T17:29:48","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/schools\/?p=1752"},"modified":"2020-07-17T22:35:32","modified_gmt":"2020-07-17T22:35:32","slug":"school-of-nursing-responds-immediately-to-covid-19-pandemic","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/schools\/2020\/07\/14\/school-of-nursing-responds-immediately-to-covid-19-pandemic\/","title":{"rendered":"School of Nursing Responds to COVID-19 Pandemic"},"content":{"rendered":"
By Catherine Duncan<\/p>\n
When a global pandemic changed the world and threatened everyone\u2019s health, UT Health San Antonio\u2019s School of Nursing reacted swiftly and deliberately to the emergent health care needs of its university, city and county.<\/p>\nLark Ford (right), Ph.D., M.A., M.S.N., RN, who is overseeing the screening program of those entering campus, worked with an interdisciplinary team including Tammy D. Harris, M.P.A.S., PA-C, assistant professor\/clinical of physician assistant studies from the School of Health Professions.<\/figcaption><\/figure>\n
Eileen T. Breslin, Ph.D., RN, FAAN, dean and the Dr. Patty L. Hawken Nursing Endowed Professor, explains that part of the fabric of the nursing school is to be responsive to the needs of the community.<\/p>\n
\u201cWhen we are called on for assistance\u2014whether it is from our own university or from city or regional leaders\u2014nursing faculty, staff and students step up and volunteer. Our faculty are innovative and creative. They know how to set up systems to provide health care services. Nurses are people of action.<\/p>\n
\u201cAnd, I believe that UT Health has responded in an extraordinary way with the entire community in mind. The nursing school\u2019s assistance in the COVID-19 response has been inspirational and vital to the success of flattening the curve.\u201d<\/p>\n
Cindy Sickora, D.N.P., RN, vice dean of practice and engagement, said the school\u2019s COVID-19 response began with participation in the Critical Mission Team, created by William L. Henrich, M.D., MACP, UT Health president. \u201cOn March 5, the university identified 19 employees who were out of the country on business trips. UT Health had to create protocols regarding traveling within the country and returning to the U.S.\u201d<\/p>\n
Dr. Sickora worked closely with Michael Charlton, Ph.D., assistant vice president for risk management in UT Health\u2019s Department of Health and Safety. The School of Nursing started getting phone calls regarding COVID-19 and traveling from employees.<\/p>\n
UT HEALTH HOTLINE<\/strong><\/h3>\n
\u201cWe had to be able to help those who were already abroad plus answer questions about spring break and traveling. The number of phone calls kept increasing. I couldn\u2019t handle the volume anymore. On March 12, we decided to create the UT Health Hotline; the hotline started on March 18 with an average of 50 calls per day,\u201d she said.<\/p>\nKaren O\u2019Rourke, M.S.N., RN, is one of two nurses working the UT Health Hotline.<\/figcaption><\/figure>\n
For the UT Health Hotline, Cheryl Farner, M.S.N., APRN, FNP-BC, and Karen O\u2019Rourke, M.S.N., RN, began training on March 16 and were working the hotline on March 18, Dr. Sickora explained. \u201cInitially, they were helping employees who were returning to the U.S. and had to be quarantined. Then spring break occurred, and they helped those who traveled through hotspots with their quarantines,\u201d she said. \u201cNext we started seeing people testing positive in the community, and health care workers were being exposed to those who were COVID-positive. As time went on, the nursing school helped develop the protocols and respond to the changing needs of the callers.\u201d \nThe UT Health Hotline also assists faculty, staff and students who are concerned about needing to be tested for COVID-19. This development led to the School of Nursing responding quickly and creating an on-campus COVID-19 testing site.<\/p>\n
ON-CAMPUS TESTING<\/strong><\/h3>\n
Kenneth P. Miller, Ph.D., RN, CFNP, FAAN, FAANP, who holds the School of Nursing Professorship in Aging, said once the UT Health Hotline was established, the school started getting requests for COVID testing. Working with the UT Health San Antonio Police Department, nursing officials decided to use space in a parking lot near the school.<\/p>\n
The School of Nursing was able to set up the COVID-19 testing site because of funding from the Hyundai Hope On Wheels\u00ae and San Antonio-area Hyundai dealers, which awarded UT Health San Antonio a $100,000 grant for drive-through COVID-19 testing.<\/p>\n
With the Mobile Health Unit and an adjacent tent, Dr. Miller and Heidi Miller, M.S.N., APRN, FNP-BC, began administering the nasal and oropharyngeal swab test to UT Health personnel who received an order from a physician through a telehealth visit or who called the UT Health Hotline and a telehealth visit was scheduled with a nurse practitioner at the school\u2019s Wellness 360.<\/p>\n
Those with orders are given an appointment time to drive up for the test while remaining in their vehicles. \u201cHeidi and I can now complete a test in four to five minutes. I warn people being tested that it is not a comfortable test. The swab goes in the nose and through the back of the throat to the oropharynx. I tell them if they don\u2019t tear up, I didn\u2019t do it right. Everyone who has come here to be tested has been very thankful and appreciative\u2014despite the discomfort of the test,\u201d he said.<\/p>\n
Since March 25, the Millers, who are not related, have been performing tests at 8 a.m. and 2 p.m. weekdays. In mid-May, when testing expanded to UT Health patients, testing was added Sunday mornings. Testing is now being done for pre-surgical radiology, ENT, dermatology and oncology patients with UT Health Physicians and the Mays Cancer Center. \u201cWe do these tests at 8 a.m. so doctors have results before the procedure scheduled the next day.\u201d<\/p>\n
Dr. Miller said the nursing school has been working with the School of Dentistry to help it set up a testing site for pre-surgical patients at its Center for Oral Health Care and Research. \u201cWe learned a lot during this process about procedures and policies. We are now passing that information on to our dental colleagues,\u201d he said. \u201cWe want to give the best service we can to our community. Patients deserve that.\u201d<\/p>\n
FREEMAN COLISEUM<\/strong><\/h3>\nAssistant Professor Moonju Lee, Ph.D., M.S.N., RN, is one of many faculty members who volunteered at the COVID-19 drive-through testing site and call center at the Freeman Coliseum.<\/figcaption><\/figure>\n
Heidi Miller, assistant professor\/clinical, was one of many nursing faculty members who volunteered at the Freeman Coliseum, which became the city and county\u2019s main screening and testing site. \u201cWe were able to go there and help with screening through their call center as well as administering the swab tests. Our faculty and graduate NP students have been helping wherever the need has arisen.<\/p>\n
\u201cWhile volunteering there, we were able to see how it was organized on a large scale so we could figure out how to create our testing site on a smaller scale,\u201d she said. \u201cWe brought that knowledge back to campus so we could start testing UT Health students, faculty and employees.\u201d<\/p>\n
REGIONAL ASSISTANCE<\/strong><\/h3>\n
The School of Nursing also received a call for assistance from the Southwest Texas Regional Advisory Council (STRAC), which is designated by the Texas Department of State Health Services to develop, implement and maintain the regional trauma and emergency health care system for Bexar and 21 surrounding counties.<\/p>\n
Dr. Breslin said the nursing school helped at STRAC\u2019s call center. \u201cFaculty volunteered on weekdays and weekends. They took calls, assessed symptoms, scheduled testing appointments, and followed up after tests,\u201d she said. \u201cFrom my perspective, I have seen our faculty be leaders in action without hesitation.\u201d<\/p>\n
ON-CAMPUS SCREENING<\/strong><\/h3>\n
When Andrea Marks, M.B.A., CPA, UT Health chief operating officer, asked the School of Nursing to create a screening process for students, faculty and staff coming onto campus, 16 faculty volunteers signed up that same day. In collaboration with Police Chief Michael J. Parks, Dr. Sickora, with the leadership of Lark Ford, Ph.D., M.A., M.S.N., RN, started with 15 screening sites across the campus.<\/p>\n
Dr. Breslin said, \u201cWe engaged students from not only our school but also the Long School of Medicine, School of Dentistry and the School of Health Professions. In less than 24 hours, the on-campus screening was up and running. In addition, Dr. Ford created a training video for everyone who volunteers for on-campus screening.\u201d<\/p>\n
Dr. Ford, associate professor\/clinical, said those who volunteer wear masks and gloves. First, a person\u2019s temperature is taken with a no-touch thermometer. Then a series of questions regarding COVID-19 symptoms are asked. \u201cWe also make sure everyone coming on to campus is wearing a mask,\u201d she said. \u201cEach person who passes the screening has a sticker put on their badge that is good for that day.\u201d<\/p>\n
If someone tries to come on campus who has a fever or answers yes to any of the symptom questions, then he or she is given directions on how to seek medical attention, Dr. Ford explained.<\/p>\n
As with all the other responses to the pandemic, screening is adapting as time passes. \u201cAt first, we had 15 stations, but now we have six. We activate and deactivate stations depending on the need. As more employees return to work on campus, adjustments will be made,\u201d she said.<\/p>\n
While students primarily were the initial volunteers at the stations, the ending of the spring semester meant many are now gone for the summer break, Dr. Ford said. \u201cNow UT Health employees are staffing the screening stations. The employees have really stepped up. I am amazed by everyone who is volunteering to keep this campus safe.\u201d<\/p>\n
Dr. Sickora, who has experience in disaster relief after hurricanes, said she is proud that the School of Nursing has been at the center of the COVID-19 pandemic response. \u201cNurses are the type of people who respond when a disaster occurs. That is just who they are. And, in this health care crisis, we worked with the most interprofessional team I\u2019ve ever seen. At UT Health, we all worked together to stop the spread of this deadly disease. Together, we made a difference.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"
When a global pandemic changed the world and threatened everyone’s health, School of Nursing faculty, staff and students reacted immediately. Learn how the school battled COVID-19 on all fronts. <\/p>\n","protected":false},"author":43,"featured_media":1896,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,11],"magazine":[24],"issue-year":[45],"featured-story":[],"class_list":["post-1752","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community","category-patient-care","magazine-tribute","issue-year-45"],"yoast_head":"\n
School of Nursing Responds to COVID-19 Pandemic - Magazines of the Schools at UT Health San Antonio<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/magazines.uthscsa.edu\/schools\/2020\/07\/14\/school-of-nursing-responds-immediately-to-covid-19-pandemic\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"School of Nursing Responds to COVID-19 Pandemic - Magazines of the Schools at UT Health San Antonio\" \/>\n<meta property=\"og:description\" content=\"When a global pandemic changed the world and threatened everyone's health, School of Nursing faculty, staff and students reacted immediately. 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Miller (left), Ph.D., RN, CFNP, FAAN, FAANP, and Heidi Miller, M.S.N., APRN, FNP-BC, assistant professor\\\/clinical, administer COVID-19 swab tests at the on-campus drive-though testing site.\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/2020\\\/07\\\/14\\\/school-of-nursing-responds-immediately-to-covid-19-pandemic\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tribute\",\"item\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/magazine\\\/tribute\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"School of Nursing Responds to COVID-19 Pandemic\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/#website\",\"url\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/\",\"name\":\"Magazines of the Schools at UT Health San Antonio\",\"description\":\"Magazines of the Schools at UT Health San Antonio\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/magazines.uthscsa.edu\\\/schools\\\/#\\\/schema\\\/person\\\/92ba77ef72a0095914424aa87b09c99c\",\"name\":\"duncancl\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/4561cd958c8f1ae172cfa6e6a22ea689cad8a0153177b8c4b0997fa83e7bbe33?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/4561cd958c8f1ae172cfa6e6a22ea689cad8a0153177b8c4b0997fa83e7bbe33?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/4561cd958c8f1ae172cfa6e6a22ea689cad8a0153177b8c4b0997fa83e7bbe33?s=96&d=mm&r=g\",\"caption\":\"duncancl\"},\"description\":\"Catherine Duncan is director of communications for the Office of Institutional Advancement. 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