Monthly Archives: May 2013

Nurse’s Week: What You Do Matters

Elizabeth Rochin, MSN, RN, is the clinical manager of 7 East at Rex Hospital. Her “Nurse’s Week” blog posts bring you a series of reflections on being a nurse at Rex.

I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. With loyalty will I endeavor to aid physicians in their work, and devote myself to the welfare of those committed to my care.

-The Nightingale Pledge (Lystra Gretter, 1893)

Have you ever thought about the far-reaching impact of your work? Have you ever stopped and thought about how your touch, your words and your presence create a new reality for your patients? You may only care for your patient one day. But that one day, even one moment, may make a tremendous difference in their life. The difference between “heal” and “harm” can be as simple as a word. Or lack thereof.

When I became a nurse in 1989, I had no idea where nursing would take me. I have had the distinct pleasure of working at the Children’s Hospital of Philadelphia (affectionately known as CHOP by Philadelphians), University of Virginia Medical Center, UNC Healthcare and here at Rex. In the 10 years I have been at Rex, I have seen so many changes, but the one change that I am most proud of is the continual enhancement of the level of caring we offer our patients.

And that caring starts with you.

As nurses, you give freely of yourselves and ensure the safety and welfare of your patients on a daily basis. Your passion for excellence and a drive to ensure the very best for your patients speaks volumes to the families and visitors that enter through our doors each day. Despite recent changes in healthcare, you have never lost sight of our goal as a profession, as an organization and as a community partner—to provide excellent care for our patients and their families. For the next week, we celebrate you and the power you bring to the bedside; whether that “bedside” is in the Tower, an Express Care, Wellness Center, or wherever you interact with patients or clients, your impact reaches far and wide.

You make a difference.

Patients and families from every corner of Wake and surrounding counties come to our facility because they know of the exemplary reputation of Rex Nurses. They seek you out to bring them solace, bring them peace, bring them healing and bring them hope.

Thank you for being a part of Rex Nursing. Our story continues- what page will you write?

One last item: a “thank you” for my team on 7 East. For two consecutive quarters, you have earned the YKB Trophy for highest inpatient satisfaction. Your dedication to one another and to your patients is extraordinary. Thank you for everything you do on a daily basis to promote the well-being of your patients. This is truly a team effort—our physicians, surgeons, nurses, pharmacists, dieticians, case managers, social workers, physical and respiratory therapists, environmental services team, plant facilities team, distribution team, etc. It takes all of us to make this level of care a reality for our patients. I offer you my heartfelt gratitude, and so do our patients.


No Incision, No Problem

Post featuring Dorian J. deFreitas, M.D. Dr. deFreitas is a vascular surgeon and a member of Rex Vascular Surgical Specialists. He is board-eligible in vascular surgery and board-certified in general surgery. 

The aorta is the largest artery in the body. It starts at the heart and runs down the chest and abdomen until it divides to supply the legs. If the walls of the aorta weaken, a bulge can develop, which is called an aneurysm. If it is not treated, it can rupture and cause life-threatening problems.

“Our noninvasive approach involves making a small puncture in the skin, eliminating the need for an incision,” says Dr. deFreitas. “We evaluate if patients are candidates for this approach based on several factors, including the aneurysm’s shape and location and size and the amount of calcium in the wall of the femoral vessels.”

During the procedure, a graft is inserted through the puncture site, under fluoroscopic guidance, and it is deployed in the aorta. The hole in the artery is closed using a series of percutaneously placed sutures. When the graft is released the blood flows through it, allowing the aneurysm to shrink and eliminating the threat to the patient.

“We have excellent results with this approach,” Dr. DeFreitas says. “Patients are usually ready to go home the next day after surgery, and they have minimal post-operative pain.”

For more information on this noninvasive procedure, please call Rex Vascular Surgical Specialists at (919) 784-2300 or visit

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