Monica Pierre, RN
Monica Pierre, RN, Clinical Nurse Manager, Mount Sinai Selikoff Centers for Occupational Health on Staten Island, loves to travel and has visited countries worldwide. Her international flights have been generally smooth, but on a recent trip to London for the wedding of her niece, her flight was anything but typical.
Monica was seated with a cousin and a new acquaintance who is her cousin’s friend, when after dinner she dozed off. She was awakened by an announcement from the cockpit, asking if there were any medical personnel on board. Monica alerted the flight attendant that she was a nurse and was escorted to the back of the plane. Her companions were no longer sitting next to her, and she assumed they had gone to the rest rooms. However, Monica was shocked to see her cousin’s friend lying on the floor, unresponsive to verbal commands. She quickly took control of the situation, along with a fellow passenger who was a medic.
Monitoring the medical status of her companion and keeping her semi-conscious was a challenge. The flight’s blood pressure cuff was not appropriate for her needs, and the pulse oximeter was missing batteries (thankfully, a passenger had two double A batteries to spare). Monica asked for oxygen, and luckily, that was readily available. Monica continued to monitor her companion’s vitals over the next three hours, making sure the woman did not aspirate her own vomit and changing her clothes to keep her dry and warm. Monica advised the flight crew, when asked, that diverting the flight was unnecessary, since they were halfway through the flight and all of the woman’s vital signs were normal. But her companion was mostly unresponsive and unable to be moved, so Monica did not leave her side.
As they approached Heathrow Airport, the attendants, Monica, and the medic struggled to put the woman in a seat, as that was required for landing. Monica stayed close by and gave a report to the medical team when they boarded. The woman was taken by ambulance to a hospital, where she was able to be discharged after a day of observation and tests indicated she had an adverse reaction to beverages she had onboard the plane.
Although she never expected to be involved in a medical crisis aboard a flight on her way to celebrate such a happy occasion, Monica says she is aware of the importance of her medical skills and her mission as a nurse. “My first instinct, when I heard the request for medical assistance, was to offer my help. As nurses, we are always on duty. We serve the public. We take care of people. This is what we do.”