Alert to Signs of a Stroke, Mount Sinai Queens Nurse Helps Save a Colleague
From left: Vanessa Rose Jayme, MS, RN; Daniella Stephen, MPH, MSN, RN; Anne Pisciotta, RN; Asha Cox, RN; Connie Vargas, Director of Nursing Systems; Riskarlyn Figuereo; and Sharon Kurian, MSN, RN, CMSRN, Assistant nurse manager, 3 East
Asha Cox, RN, Nurse Manager on 4 East at Mount Sinai Queens, started her day recently by checking on a nurse in her unit who had experienced an injury earlier in the week. Calling the nurse at home, Asha immediately detected that something was wrong. She said to her colleague, “Your voice has changed, are you okay?” Within moments, Asha knew this nurse was not well. “It was also clear she was alone in her home. I told her to call 911, but she could not. I asked for her address, but it was hard to understand her, so the next step was to look through the Mount Sinai database to find where she lived and how to reach her emergency contact. I also told her to unlock the door for emergency services, if she could do so safely. And to lie on the floor to avoid falling.“
Thankfully, colleagues were in the office, and it became a team effort. Daniella Stephen, MPH, MSN, RN, Senior Director, was by Asha’s side, offering guidance. Riskarlyn Figuereo, Administrative Office Coordinator, searched through the database for the emergency contact information and home address. Anne Pisciotta, Clinical Nurse Manager, 3 West, was a calming presence with her frequent nods of support. And Vanessa Rose Jayme, MS, RN, Assistant Nurse Manager, came just in time to offer her telephone for multitasking while Asha spoke to her colleague and the 911 operator simultaneously. “I was feeling in control, but when 911 called back to say they could not find the entrance to her building, admittedly I had to work a little harder to calm my nerves,” Asha says.
Safiya Alozie, RN, Nurse Manager, 3 East, was in the office as well. “As we listened, the voice over the phone gradually became more slurred and disoriented,” Safiya says. “Asha remained calm, soothing her colleague and reassuring her that help was on the way. We heard the cries and the fear through the phone, and the anxiety among us all was palpable. The 15-minute phone call seemed liked an hour. But Asha never showed any fear, reminding this nurse that she would not hang up until the ambulance arrived. When we all heard the medical team burst through the door, there was a sense of relief for everyone. We could finally exhale!”
Asha, who has worked as a nurse at the Mount Sinai Health System for 18 years, says her experience was key in helping her navigate this “somewhat surreal” situation. “As nurses, we learn how to pay attention to seemingly little things, the details, an unusual symptom,” Asha explains. “In this case, I picked up on her voice, and the longer she was on the phone, I recognized the signs of stroke.” She adds, “You cannot be sure how you will respond in times like these, but I am a person of faith. I am also am so thankful that my colleagues were close by. I felt supported.”
Jill Goldstein, MA, MS, RN, Vice President, Patient Services, and Deputy Chief Nurse Officer, Mount Sinai Queens, says: “Asha exceeded the definition of hero this day. She followed her intuition and her heart, which led to the successful 911 intervention. This is emblematic of Asha’s leadership style, authentic, transformational and dedicated to her staff and colleagues. We are blessed to work with Asha.”
