Chaminade University of Honolulu

Nursing

Triennial Aircraft Disaster Exercise

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First responders put skills to the test during emergency response drill

Imagine an aircraft explosion on landing and the immediate aftermath. The moments after an airplane crash are undoubtedly critical, as nursing student Sigfried Halili ’23 learned firsthand during the Triennial Aircraft Disaster Exercise. This every-three-year, mandatory certification requirement by the Federal Aviation Administration tests airfield disaster preparedness and response by simulating a full-scale aircraft emergency disaster. The drill tests and evaluates the operational capacity of emergency response in a stress environment.

Mock patients in moulage (make-up) are treated by Chaminade nursing students during the Triennial Aircraft Disaster Exercise.

Divided among four groups colored Red, Green, Yellow and Black, Chaminade nursing students treated patients with varying injuries, with the Red group receiving the most seriously injured, the Green team tending to those with superficial abrasions and contusions, the Yellow team looking after patients in between Red and Green, and Black team announcing mortality.

“The firefighters and EMS would perform triage and assess where the injured passengers would be taken,” explained Halili, the senior representative of the Student Nursing Association. “Of the five patients I treated, one was mortally injured, another belonged to the Green category and the three others were in critical condition.”

This triennial, multi-agency exercise involved hundreds of volunteers—including 175 nursing students from Chaminade University—and airport personnel who acted as injured passengers. Participating agencies included Hawaii Department of Transportation (HDOT) Airports Division staff, HDOT Aircraft Rescue Fire Fighting (ARFF) units, Securitas, the Federal Aviation Administration, the Transportation Security Administration, City & County of Honolulu Fire and Police Departments, Emergency Medical Services, American Medical Response, Joint Base Pearl Harbor Hickam Federal Fire Department, U.S. Coast Guard, Hawaii Department of Public Safety and airline personnel.

Volunteers portrayed passengers who were injured, uninjured, unresponsive, fainting, deceased, family, friends, responders, medical personnel and other miscellaneous roles. Make-up (moulage) was applied to simulate varying injuries, from deep lacerations to serious tissue wounds. Participants were also asked to “role play,” pretending to cry, scream with injuries and yell confusedly. Others acted grief stricken, angry and demanding information. All these roles were to simulate a real-life event to help responders to be better prepared. This exercise is an opportunity to get an on-scene and behind-scene view of a real-life emergency simulation.

The main focus for the nursing students during the exercise was to practice use of the Incident Command System— a systemic tool used for the command control and coordination of emergency response—and perform disaster triage and treatment skills. The event was a great opportunity for nursing students from three local nursing schools—including Chaminade—to work cohesively in an intense and stressful environment, an experience most of them had never encountered.

“This was the first triennial exercise that I participated in,” said Halili, who will graduate in December and take the National Council Licensure Examination to become a fully licensed Certified Nurse. “It was amazing to see how many people get involved when an emergency happens on an airport tarmac.”

Board Appointment

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Dr. Rhoberta Haley Elected to AACN Board of Directors

The American Association of Colleges of Nursing (AACN) has announced that Rhoberta Haley, Ph.D., RN, FNP, dean of the School of Nursing and Health Professions at Chaminade University of Honolulu, has been elected to the AACN Board of Directors. She will serve as a Member-at-Large through March 25, 2024. AACN held a special election in August/September to fill an unexpired term on the Board with votes cast by member deans.  

“As the national voice for baccalaureate and graduate nursing education, AACN is committed to transforming health care and helping to lead the drive toward health equity,” said AACN Board Chair Cynthia McCurren, Ph.D, RN in a statement released in February after the organization’s announcement of the results of its 2023 election to fill seats on the AACN Board of Directors and Nominating Committee. “I look forward to collaborating with the new and returning members of the AACN Board and Nominating Committee to magnify the impact AACN has on ensuring quality in nursing education, research and practice.”  

AACN is governed by a 14-member Board of Directors, which includes four elected officers (Chair, Chair-Elect, Treasurer, and Secretary), seven at-large members representing schools of nursing, and two members representing practice. AACN’s President and Chief Executive Officer serves on the Board as an ex-officio member.  

Haley currently serves on the AACN Doctoral Conference Planning Committee, and previously served on the Finance Committee. She has participated in 13 CCNE evaluations for either initial accreditation or re-accreditation as a faculty member, director/dean or consultant. She has been dean at Chaminade University, School of Nursing and Health Professions since 2019.  

According to Haley, the benefits of serving as a Board of Director are many and include: a high level and significant role in advancing excellence in academic nursing; engagement in discussions about strategic goals and priorities, higher education and healthcare issues, and challenges facing the nursing profession.  

AACN is the national voice for university and four-year college education programs in nursing. Representing more than 560 member schools of nursing at public and private institutions nationwide, AACN’s educational, research, governmental advocacy, data collection, publications and other programs work to establish quality standards for bachelors and graduate degrees in nursing education. The governing body also assists deans and directors to implement those standards, influence the nursing profession to improve health care, and promote public support of baccalaureate and graduate nursing education, research and practice. Task forces are appointed by the AACN Board of Directors as issues arise that require study and action.  

AACN’s work to inform members about key issues in higher education includes: offering conference sessions and webinars focused on trends in higher education, including a special panel presentation at the Academic Nursing Leadership Conference in October featuring thought leaders; and advocating for legislation that supports higher education and schools of nursing.

Kenneth and Diane Matsuura Foundation

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Scholarship fund helps future nurses

After consistently hearing about the need for nurses during the pandemic, Kenneth and Diane Matsuura decided to do something about it. Rather than park their money in investments, the couple was driven to establish a foundation that would support future healthcare workers, knowing the essential role nurses play in and outside of hospital settings.  

“During the pandemic, we saw the perseverance of nurses,” says Diane Matsuura, a retired music teacher. “I could never do what they do; they work tirelessly to help their patients heal. And we’re fortunate enough to be able to start this foundation to help future nurses attain their degrees.”  

The COVID-19 pandemic was not in sight when the World Health Organization (WHO) declared 2020 as the Year of the Nurse and Midwife, with a goal to raise awareness of the need for “nine million more nurses and midwives to achieve universal health coverage by 2030.”

In Hawaii, there are currently 1,000 vacant nursing positions across the state, according to the State Department of Labor and Industrial Relations. State data further shows the demand for more nurses will grow by more than 100 positions each year.  

Tiannah Ohta and Genie Reutirez heard that calling and decided to answer it by applying to Chaminade’s nursing program. As part of the cohort of students in the accelerated track to earn a bachelor of science in nursing, Ohta, Reutirez and their fellow nursing students will complete their degrees in five back-to-back terms (20 months, as opposed to the traditional four years) through a rigorous academic schedule.

“When I read the email that I received a scholarship from the Kenneth And Diane Matsuura Foundation, I started to bawl,” Reutirez told Diane Matsuura and son Keven Matsuura over lunch. “It was such a huge surprise and a major financial help.”  

Ohta was in disbelief when she learned about her scholarship, thinking at first, that the email was a prank. “I wasn’t expecting it all; I had to read the email a few times because I thought I was reading it incorrectly.” said the 24-year-old Waipahu native and two-time nominee for a U.S. Presidential Scholars Medallion. “This helps me a great deal financially because we can’t work and go to school at the same time. It’s just not possible.”  

With an increasing emphasis on preparing nurses at the baccalaureate and higher degree level, one innovative approach to nursing education is to offer an accelerated degree program for non-nursing graduates. These programs build on previous learning experiences and provide a way for individuals with undergraduate degrees in other disciplines to transition into nursing.  

Having already completed her undergraduate degree in public health, Reutirez decided to pursue her nursing degree, a goal of hers even when she was completing her first bachelor’s. “It’s just a little later than I expected,” said the Ewa Beach resident. “I guess though it’s better late than never.”      

Geared to individuals who have already proven their ability to succeed at college or university, accelerated baccalaureate programs accomplish programmatic objectives in a short time by building on previous learning experiences. Instruction is intense with courses offered full-time with no breaks between sessions. Students receive the same number of clinical hours as their counterparts in traditional entry-level nursing programs.  

“Even when I was completing my bachelor’s degree in biology at the University of Las Vegas, I knew I wanted to be in the medical field,” Ohta says. “This program will help me get there.”  

And so will her Kenneth and Diane Matsuura scholarship.  

“It’s rewarding to meet these young women who have so much passion to become nurses,” Diane Matsuura says. “My husband is currently hospitalized so I see what these nurses have to go through day in and day out. They work long shifts and the job is physically demanding. So, I commend anyone who goes into nursing.”            

‘Sudisfaction’ Guaranteed

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Brothers establish essential men’s care

In 2020, Jacob Fernandez ’23 was in flight school until he was grounded by a once-in-a-lifetime pandemic. With only 50 hours left to earn his private pilot license, the California native made, what he described, “as a spontaneous decision” to fly in a completely different direction—towards Hawaii.

“I had a friend who was going to Chaminade, and he told me it was a great school,” Fernandez says. “So, I decided to do my due diligence, and I looked into the nursing program, which I’ve always been interested in. Ironically, my friend decided he didn’t like nursing so he dropped out, but here I am in my final year.”

Unfortunately, the COVID-19 pandemic took higher education into unprecedented times. The necessary pivot from in-person to online teaching and learning proved to be difficult for many students, educators and administrators. Undergraduate nursing programs faced an even more complex decision because large portions of the curriculum rely on hands-on clinical experience. Ultimately, most programs completed the remainder of the Spring 2020 semester remotely, while the Fall 2020 semester looked different for many programs, some moving forward with in-person learning, others virtual.

Jacob Fernandez holds one of Broessentia’s handmade soaps.

On a positive note, there were opportunities for students to develop interventions and improve their experience, including changing the environment, learning via virtual gatherings, responding to the flexibility of faculty, undertaking supplemental learning and pursuing intentional self-care. 

That last point of self-care resonated with Fernandez and his older brother, Chris Fernandez. “Growing up, our mother would make natural, personal care products, which made us more conscious of what we used on our bodies,” says Jacob Fernandez. “So, my brother and I started a company that focuses on men’s personal care, and called it Brossentia.”

A portmanteau of brother and essential, Brossentia officially launched online on May 17, 2020, offering a line of natural, handcrafted bar soaps, which are made with a base of olive, coconut, jojoba or sustainable palm oil.

In between his nursing studies and starting an online business, Fernandez decided to enroll in the one-year Hogan Entrepreneurial Program, which he now credits for teaching him some valuable business skills. 

“The Hogan Program has provided insightful experiences through listening to entrepreneurs and hearing their journeys towards success,” Fernandez says. “It was inspiring to hear them speak about how they overcame their diversities and challenges.”

At the April 2023 Hogan Entrepreneurial Leadership Program Induction/Graduation Ceremony, Fernandez was honored with this year’s “In the Arena” Award for outstanding entrepreneurship. It was a well-deserved recognition, according to Hogan Entrepreneurial Program Director Roy Panzarella, Ph.D.
“Jacob will be a senior in the nursing program, which is one of the toughest and most demanding programs we have at Chaminade today,’” Panzarella says. “He’s also the first nursing major to be a Hogan Entrepreneur.”

Along with the objective to create a business and a product, the brothers conducted market research, which ranged from consumer type and market size to earth-friendly packaging and trends. Unlike commercial brands, Jacob and Chris Fernandez handcraft each bar in-house—literally, in their mom’s Hermosa, Calif., kitchen—to ensure the highest quality control. They also developed their own molds, using material that they bought from Home Depot. 

Their cold-process soap is made by combining oils and sodium hydroxide lye, which causes a chemical reaction called saponification. In the process, they get to choose the oils, scents, colorants and any other ingredients. Their line of soaps includes Bay Citrus, Black Moss, Crisp Mint and the popular Goated, which is made with oatmeal, a combination of oils, shea butter, essential oils of spearmint and eucalyptus and, yes, goat’s milk.

“Our competitors use drop-ship soap, which means they buy their soaps from a manufacturer and brand it as their own,” Jacob Fernandez explains. “Our cold-process soap is tedious, and it takes about a month for our soaps to cure.”

As Brossentia business takes off, Jacob Fernandez remains grounded, following the Hogan Entrepreneurial Program’s motto, “Doing business things that make social sense. Doing social things that make business sense.” 

“I would say that our business aligns with the Marianist value of family spirit,” the 22-year-old says. “Through shared experiences, we plan to partner with grassroot organizations that promote and expand quality mental healthcare for men, donating one percent of our sales to nonprofits.

“Chaminade has put me in a better position to become a registered nurse,” Jacob Fernandez continues. “Balancing life, studies, clinical hours, a part-time job and Brossentia can be demanding. Going into my fourth year, I feel like I need to fit a few more pieces into the puzzle before graduating, but I am excited for the future.”

As Brossentia’s tagline goes: Sudisfaction Guaranteed.

Sticking Point

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Pinning Ceremony marks rite of passage for graduating nursing students

“Let us never consider ourselves finished nurses … we must be learning all of our lives.”
Florence Nightingale

2022 Nursing Pinning cermeony

Minutes after completing his final exam, Nainoa Gaspar-Takahashi ’22 began to muse about his remarks for the time-honored Nursing Pinning Ceremony, a rite of passage for soon-to-be graduates or graduating Nursing School students.

“After all the obstacles, especially when COVID happened, I can finally see the end of the tunnel,” says Gaspar-Takashi, referring to the ritual ceremony. “It has been a long journey for me and I can finally breathe a sigh of relief.”

A total of 49 nursing students received their stoles and pins during the ceremony, which occurs at the end of a student’s program in a school of nursing, and signifies the completion of this level of education and an official initiation into the profession. 

Gaspar-Takahashi points out that this official observance is different from the commencement that he will participate in May 2023, adding that many of his peers share the opinion that this ritual is even more significant for them. For the Kaneohe native, the Pinning Ceremony symbolizes that a student is now formally a member of the sisterhood and brotherhood of nurses, and is ready to serve the community as a healthcare professional. 

“Nursing has often been referred to as a ‘calling’ and this Pinning Ceremony is based on the history of this respected profession,” Gaspar-Takashi says. “I now feel like I’m now on the frontline of helping people get better.”

Nursing student receiving her stole at the Nursing Pinning ceremony

In Chaminade’s School of Nursing and Health Professionals version of the Pinning Ceremony, it’s a student’s family member—and not faculty like at some celebrations at other schools—who presents the Chaminade-blue stole and offers words of congratulations. 

“It’s very meaningful for the student to have a parent or loved one place the stole around their neck,” says School of Nursing and Health Professions Dean, Rhoberta Haley, Ph.D. “My late mom was a nurse and when she attended my Pinning Ceremony, she wore hers. It’s very symbolic and we take great pride in our pins.”

The history of the Pinning Ceremony dates back to the 12th century when the Crusaders were cared for by the Knights of the Order of the Hospital of St. John the Baptist. When new monks entered the order, they vowed to serve the sick soldiers in a ceremony during which each monk was given a Maltese cross badge.

The modern ceremony started in the 1860s when Queen Victoria awarded Florence Nightingale the Red Cross of St. George to recognize her service as a military nurse during the Crimean War. To share the honor, Nightingale —whom many deem the founder of modern nursing—later presented medals of excellence to her brightest nursing students.

In 1916, the Pinning Ceremony became standard practice for new graduates in the United States as a way to welcome them into the profession. While once reserved for outstanding students, today it includes all students who successfully complete their nursing education.  

The last time that guest speaker Bridget Lai spoke at a Pinning Ceremony was her own in May 2001. “It’s been a long time, but when I received the invitation from Dean Haley, not only was I thrilled and excited, but all the memories of that day–over 20 years ago—came rushing back to me,” said Lai, Hawaii Pacific Health’s Nursing Education Manager. “While I absolutely value my degree, the Pinning Ceremony spoke directly to me and the personal calling that I answered to become a nurse. Your pin tells the world—you can do anything, four words that have stayed with me, and grown and evolved with my professional nursing practice.”

In addition to the pinning, some ceremonies often include a candle- or lamp-lighting to symbolize the nighttime care Nightingale gave to wounded soldiers by candlelight. Graduates also recite the International Pledge for Nurses. 

“We take this oath seriously,” Gaspar-Takahashi says with sincerity. “And now I look forward to being present as an employee and not a student, and making a difference in a patient’s care.”

Gaspar-Takahashi’s education, though, isn’t quite over. His next classroom will be the emergency room at Straub Medical Center, where he will be the graduate nurse before officially obtaining his Registered Nurse license.

“This nursing program instilled in us the Marianist values of service and compassion,” Gaspar-Takahashi asserts. “I’m grateful for the opportunities I’ve been given. I was not only taught the nursing academy but I learned a lot about life lessons.”

Finding Your Passion and Getting Out of Your Comfort Zone

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Brittany Johnson ’24 had a lot of life under her belt when she applied to Chaminade University.

She’d already served in the Air Force, after enrolling right out of high school. She’d earned her first degree—a bachelor’s in Community and Public Health from the University of South Carolina. She’d gone back into military service, joining the Army and shipping off to Hawaii’s Schofield Barracks.

Her experiences helped her grow—and drove her to realize something: she thrived on helping others.

Nursing students

So she decided to turn her talents to Nursing and applied to several universities as she prepared to complete her Army obligations. She was packing up, anticipating she would have to move back to the mainland, when she got word from Chaminade that she’d been accepted. “I ended up at Chaminade, was awarded scholarships to help and never looked back,” she said. “I am so happy that I did.”

In the Nursing program and across campus, Johnson said, she found a community that offered supportive encouragement and a warm atmosphere. They celebrated her unique perspective. And they connected her with a host of opportunities that helped her put her learning into action.

“There was a time in my life when I didn’t know the value of people. I didn’t know how to ask for or receive help,” she said. “But at Chaminade, I’ve always felt like part of the family. I could not have done what I have done without the people around me, my professors and mentors and my peers.”

It was helping hands at Chaminade that got her connected to a cutting-edge internship with the Air Force Research Laboratory, where she pored over research into nanomaterials. She focused on luciferase, a light-producing enzyme found in fireflies that can be used in x-ray machines.

Brittany Johnson's Luciferase poster

The evolving technology could be a safer option, especially for those who require multiple x-rays.

Johnson analyzed the available literature to put together an in-depth poster on the potential opportunities and limitations with the nanomaterial. She then delivered a presentation to the board of directors for the program. The Air Force could now end up pursuing further research into luciferase.

For Johnson, the internship wasn’t just exciting, it was challenging. “Five years ago, I could not have projected I would be doing this kind of work,” Johnson said. “It truly took a team of people to do that.”

She liked the experience so much, she opted to extend it. This fall, she’s interested in researching nanomaterials that could help physicians detect cancer earlier, leading to better patient outcomes.

And that’s not the only internship that’s been keeping Johnson busy.

Chaminade also connected her with an internship for Summer 2022 with the National Hemophilia Foundation’s Hawaii chapter. She jumped at the chance to work closer with patients and their families while helping to raise awareness for a condition that not many people fully understand.

“Over the course of the summer, I did everything from help to plan events to assist with fundraising efforts,” she said. “But the highlight was attending a summer camp for kids with hemophilia. These kids feel ostracized a lot of the time, but at camp with their peers they got to really enjoy themselves.”

Brittany Johnson '24 and friend

Kids with hemophilia often can’t participate in the same activities because their blood doesn’t clot properly, meaning even relatively small injuries can be dangerous. Hearing from families about how they manage the disease, Johnson said, helped her gain important perspective as a nurse in training.

“It was so fulfilling,” she said. “And it helped me put a spotlight on people whose voices we don’t oftentimes hear. I didn’t know these people are right next door to me. They’re in our community.”

As she makes progress toward graduation, Johnson said she is especially grateful to the Career Development team at Chaminade—especially career advisor Diane Yang. Johnson said the internships Yang and her team connected her with have helped her grow as a learner and a leader.

“It’s not easy to get out of your comfort zone,” she said, “but there’s no better way to learn.”