Victoria Fenstermaker
December 2016
Victoria
Fenstermaker
,
AAS, RN
ICU
Roswell Park Cancer Institute
Buffalo
,
NY
United States

 

 

 

A good nurse cares for the whole patient, administering medicine and caring for the patient under the direction of physicians who set a course of treatment. A great nurse not only does that, but also cares for the whole family, making sure that not only the patient is comfortable, but that each family member has their own needs met and feels cared for as well. A truly remarkable nurse puts her duties in the ICU of one of the leading cancer hospitals in the country, if only for a moment, on hold in order to come out to the waiting room to comfort the spouse of her patient who had just fainted after receiving the news that no one wants to receive. Let me explain why Victoria is truly a remarkable nurse.
This past May, my father was diagnosed with Acute Myeloid Leukemia. His diagnosis came as a surprise to everyone when he went to the emergency room in Jamestown, New York for severe joint pain and blood work pointed to acute leukemia. As soon as a room was available, he was sent directly to Roswell Park, where he was started on a 24-hour chemotherapy treatment for 7 straight days. The treatment was intended to set him up to be in a good position to be a recipient of a bone marrow transplant, but an infection landed him in the intensive care unit. It was there where we first met Vicky.
It was Vicky that originally instructed my dad to call home before he was put in a medically induced coma so he could rest and try to fight his infection.
We didn't know it at the time, but that quick phone call was the last time my mom would get to talk to my dad, so that phone call is now cherished. when I first met Vicky on the floor of the ICU, she was working tirelessly and meticulously to stay on top of nearly a dozen IV solution bags of medication - The mark of a good nurse. Over the course of the next week, my whole family was camped out in the waiting room of the ICU. We became acquainted with many others who had family members in the unit. We became familiar with staring out windows at the Buffalo skyline for hours and we were anxious whenever the waiting room phone would ring. Throughout that week, we would occasionally go in to be with dad. I was quite quiet throughout that whole week and Vicky met me where I was. When I would be in with my dad, she would pop in occasionally, silently mouthing the words, " Are you okay?", or "Do you need anything?" She knew how to meet each family member with exactly what we needed throughout that week. Vicky and my mom exchanged life stories and she provided my mom with an update on a little improvement or change each day that gave my mom enough encouragement to get through the day. The sign of a great nurse.
Most people think that the characteristic that makes a nurse exemplary is that they provide excellent care for their patient or they have a keen eye with which they discovered something that was previously overlooked by the physicians that were detrimental in nursing their patient back to health.
Although Vicky possesses these qualities, our story does not have a fairytale ending. On June 5th, after my dad had spent a week in a coma and on life support in the ICU, it was time to make some decisions. His kidneys were beginning to shut down, he was losing circulation in his legs, a feeding tube was unsuccessful, and he was retaining nearly all the fluid that was being pumped into him. On top of all that, the chemotherapy was not nearly as successful as the oncologists had hoped, and he was in no condition to receive a bone marrow transplant. When we got the news that it was "time to make decisions", the weight of the situation got the better of my mom and she passed out. Doctors, nurses, and volunteers rushed out of the ICU to care for my mother momentarily as she regained consciousness. The mark of a truly remarkable nurse.
As we made the decision to withdraw care, Vicky was, once again, with us every step of the way. She attended conferences that my family had with the leukemia team, both literally and figuratively holding our hands along the way. When it came time to remove the life support machines, she did so faithfully and even beautifully, making my dad as comfortable as possible as he passed on. When he finally passed, Vicky was the one to close his eyes and declare a time of death. Not a moment after he passed, "Knockin' on Heaven's Door" came on the radio that was playing. We now consider this song an anthem of my father, and whenever it plays, we are reminded that he is looking over us.
You share a special bond with the people that you meet in the ICU. My family is incredibly grateful to Victoria's service to not only my father and my family but every patient that she works with. For these reasons, I cannot think of anyone more deserving than Vicky to receive The DAISY Award for Extraordinary Nurses.