{"id":5278,"date":"2021-04-08T16:41:27","date_gmt":"2021-04-08T16:41:27","guid":{"rendered":"http:\/\/9thstreetjournal.org\/?p=5278"},"modified":"2023-08-17T15:40:51","modified_gmt":"2023-08-17T15:40:51","slug":"durham-icu-nurse-reflects-on-covid-definitely-not-out-of-the-woods","status":"publish","type":"post","link":"https:\/\/9thstreetjournal.org\/2021\/04\/08\/durham-icu-nurse-reflects-on-covid-definitely-not-out-of-the-woods\/","title":{"rendered":"Durham ICU nurse reflects on COVID: ‘Definitely not out of the woods’"},"content":{"rendered":"

KC Cherveny, a Duke Regional Hospital ICU nurse, knows it\u2019s time to intubate critical COVID-19 patients long before medical test results say so.\u00a0<\/span><\/p>\n

\u201cYou can see it in their face, and you can see it in their whole body,\u201d she said.<\/span><\/p>\n

A year into the pandemic, Cherveny has learned all too much. She started speaking louder to be heard through astronaut-like protective hoods, heeded advice to take time for herself and found a way to handle so much death.\u00a0<\/span><\/p>\n

But among the many lessons and traumas, the moments before intubation linger most in her mind. She can\u2019t count the number of times she\u2019s assisted with this last-ditch step to try to save people from COVID-19.<\/span>\u00a0<\/span><\/p>\n

Patients frequently ask if they really need a tube inserted into their airway so a ventilator can breath for them.<\/span><\/p>\n

\u201cThe answer is always yes,\u201d she said.\u00a0<\/span><\/p>\n

Often Cherveny\u2019s next step is connecting with their family, on an iPad.\u00a0<\/span><\/p>\n

\u201cIt’s hard when they’re basically saying goodbye to their loved ones and sometimes they may not know that,\u201d she said.<\/span><\/p>\n

As people getting vaccines makes things start to feel more normal, Cherveny has a message for those who can\u2019t see inside a hospital ICU: \u201cWe’re definitely not out of the woods yet.\u201d<\/p>\n

\"\"
KC Cherveny, right, with fellow Duke Regional Hospital nurses Claudette Suiter, middle, and Melanie Campbell. To help nurses cope with the many deaths they’ve witnessed during the pandemic, Cherveny started a support group in Duke Regional’s intensive care unit. Photo courtesy of Duke Health<\/figcaption><\/figure>\n

Inside the ICU\u00a0<\/b><\/p>\n

COVID-19 has killed <\/span>12,224 North Carolinians<\/span><\/a>. In Durham County, the virus has taken 215 lives.\u00a0<\/span><\/p>\n

Duke Regional had 12 COVID-19 patients on March 30, including four in intensive care, according to Duke Health spokesperson Sarah Avery. The hospital\u2019s coronavirus cases gradually decreased over the last few weeks. Still, the severity of illness and level of attention patients need in the hospital\u2019s 22-bed intensive care unit remains at an all-time high, Cherveny said.\u00a0<\/span><\/p>\n

As the unit\u2019s palliative care liaison, Cherveny keeps track of sobering metrics. Her unit faced a COVID mortality rate around 80% in January, she said. On a single day that month, she said, seven patients died. <\/span>
\n<\/span>
\n<\/span>\u201cIt’s astonishing. I mean, we have never seen this level of death, and the amount that we’ll have in one day is sometimes unbearable,\u201d she said.\u00a0<\/span><\/p>\n

The pandemic has physically altered her unit. Drips hang in the hallway, connected to patients inside rooms via tubes threaded through holes in the wall. That allows nurses to more easily manage medication and risk less exposure.\u00a0<\/span><\/p>\n

The environment that intubations occur in has changed too. The procedures take place behind closed doors now, Cherveny said. A downsized team inside the patient\u2019s room coordinates medication and supplies with supporting staff in the hallway via walkie-talkies, one of many innovating steps, she said, that Duke Health took to make patients and medical workers safer.\u00a0<\/span><\/p>\n

Of course, the challenges ICU nurses face has also changed. It\u2019s hard to not feel hopeless sometimes, she said.\u00a0<\/span><\/p>\n

\u201cWe deal with critical patients all the time. I think this is such a different level of critical,\u201d Cherveny said. \u201cWe want so badly to be able to fix it and be able to tell these patients that everything’s gonna be okay.”<\/span>
\n<\/span><\/p>\n

In response, Cherveny started a nurse support group in her unit, where she is a charge nurse in addition to caring for patients.<\/span>
\n<\/span>
\n<\/span>At the meetings she and other nurses, especially those new to the work, discuss the death and damage they see and how they\u2019re coping.\u00a0<\/span><\/p>\n

“We’re the only ones that get it and understand what each other is going through,\u201d Cherveny said. She relies on family too, and is trying to take more personal time. \u201cWe’re caretakers and we go into it for that reason. A lot of times it’s very easy to lose sight of ourselves,\u201d she said.\u00a0<\/span><\/p>\n

In her role leading palliative care, she also preps fellow nurses for COVID-19 deaths. The patient will have air hunger, she tells them.\u00a0<\/span><\/p>\n

\u201cIt’s something that’s so difficult to watch. And it\u2019s so sad. But it’s a humbling experience for me to be able to provide that level of care for somebody in those final moments,\u201d Cherveny said. <\/span>
\n<\/span>
\n<\/span>Just being there is a service, she says.<\/span><\/p>\n

Cherveny dims the lights and plays music in dying patients\u2019 rooms. She gets loved ones who can\u2019t be there on the iPad.\u00a0<\/span><\/p>\n

\u201cIt can be hard to shift that mindset when you’re in ICU and you’re used to treating, treating, treating,\u201d she said. \u201cWe tried everything we could, we know that we did, but now we are the ones that can provide comfort for these patients and give them a death with dignity.\u201d<\/span><\/p>\n

\"\"
At the start of a morning shift at Duke Regional, a mix of people stream in and out. Despite the growing availability of vaccines, some patients within remain afflicted with COVID-19. Photo by Sho Hatakeyama<\/figcaption><\/figure>\n

Talk of the end\u00a0<\/b><\/p>\n

Cherveny\u2019s fellow nurses have helped her get through these many months. Every morning, Duke Regional ICU nurses huddle up. Each shares two good things and something funny, an early injection of positivity.\u00a0<\/span><\/p>\n

“The capacity that nurses have to take care of such a severely sick population is just amazing to me,\u201d she said.\u00a0<\/span><\/p>\n

She recently created a \u201cdove award\u201d for compassionate end-of-life care in her unit. There\u2019s been so much of it this year, and it too often goes unrecognized, she said.<\/span><\/p>\n

It hasn\u2019t escaped her notice that community gestures of gratitude for the \u201cfront-line worker\u201d have faded away. Maybe people have forgotten, she said. Or maybe they\u2019re just not paying attention.\u00a0<\/span><\/p>\n

\u201cIt\u2019s not that we\u2019re seeking that, but when we do get it we feel a little more valued,\u201d she said, \u201cand know that that recognition is there that we\u2019re still fighting this virus.\u201d<\/span><\/p>\n

\"\"
Signs urging people to protect themselves from the coronavirus line a walkway on the grounds of Duke Regional. Photo by Sho Hatakeyama<\/figcaption><\/figure>\n

In the last month, the Duke Regional ICU has seen more success saving people afflicted with COVID-19 than it did in the pandemic\u2019s worst moments, Cherveny said. The improvement fits <\/span>a national trend:<\/span><\/a> hard-earned experience, demographic changes and reduced strain on ICU caregivers are leading to lower death rates.<\/span>
\n<\/span>
\n<\/span>Still, \u201cas hospitalizations continue to be the rate that they are, I won’t be able to say it’s getting better for a while,\u201d she said.<\/span>\u00a0<\/span><\/p>\n

For this reason, Cherveny is discouraged by what she sees outside her hospital, where people are returning to more normal lives, traveling, going unmasked, not social distancing.\u00a0<\/span><\/p>\n

Vaccination and adherence to coronavirus safety guidelines will eventually bring rates down enough, she said. But we\u2019re just not there yet.\u00a0<\/span><\/p>\n

\u201cMore than anybody, I am so ready for this to be over,\u201d she said. \u201cWe\u2019re a lot more used to doing this, but it doesn\u2019t make it any easier. I wish people understood that more.\u201d<\/span><\/p>\n

9th Street reporter Jake Sheridan can be reached at jacob.sheridan@duke.edu<\/em><\/p>\n

At top: Nurse KC Cherveny has a message for those who can\u2019t see inside the Duke Regional ICU: \u201cWe’re definitely not out of the woods yet.\u201d Photo by Sho Hatakeyama<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

KC Cherveny, a Duke Regional Hospital ICU nurse, knows it\u2019s time to intubate critical COVID-19 patients long before medical test results say so.\u00a0 \u201cYou can…<\/p>\n","protected":false},"author":14,"featured_media":5283,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[13],"tags":[70,97,202,223],"class_list":["post-5278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-public-health","tag-coroanvirus","tag-duke-regional-hospital","tag-nurses","tag-public-health","entry"],"yoast_head":"\nDurham ICU nurse reflects on COVID: 'Definitely not out of the woods' - 9th Street Journal<\/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:\/\/9thstreetjournal.org\/2021\/04\/08\/durham-icu-nurse-reflects-on-covid-definitely-not-out-of-the-woods\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Durham ICU nurse reflects on COVID: 'Definitely not out of the woods' - 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