Lea Ann Cook
A Hero Full of Hope

On a daily basis, Lea Ann Cook, nursing director for UCLA Medical Center’s transplant and surgical specialties intensive care unit and a registered nurse for 28 years, sees first hand the devastating impact of the nation’s organ shortage for those awaiting a life-saving transplant. (For more information, see page 5)

Lea Ann’s compassion for her patients and her leadership in the transplant program has lead to a phenomenal increase in UCLA’s organ donation rate. As a result, she has been nominated the hospital’s “hero” represen?tative at the National Health Foundation’s Hospital Hero Award, an event that honors healthcare professionals who are dedicated to patient care and who help to create miracles for patients.

Why did you become a nurse?
I always thought I would become a physician, but I fell in love with my high school sweetheart and didn’t want to move too far away for long, so my guidance counselor advised me to go into a two-year nursing program close to home. I found that not only was I good at it but loved it as well! It was divine intervention, and I have absolutely no regrets.

What made you switch from being a bedside nurse to the director?
I’ve spent the majority of my bedside career as a critical care nurse for a variety of patient populations. I have always been interested in organ donation since those bedside days. After completing management and graduate school, I moved to California. I became aware of the position at UCLA and I applied. Another divine intervention!

What do you miss most about being an attending nurse?
I miss not having direct patient care, because I think everyone needs to be reminded of why they entered this field. Providing bedside care gives clarity about why we are here.

How would you describe your typical day?
There is no such thing as a typical workday. As a unit director, I serve as a conduit and facilitator for my staff and for UCLA’s administrative vision and strategy. With over 110 people reporting to me, all with their individual stories and lives, our priorities — whether it’s operational issues and processes, assisting staff members or facilitating the handling of individual patient needs — change daily.

What led to your participation in the Organ Breakthrough Collaborative and the Bruins for Life initiative?
As a bedside nurse, I’ve been personally involved in helping support patients’ wishes to donate organs since 1983. About eight years ago, I began working with One Legacy — our transplant donor network —
to try to help UCLA improve its donation rate. In September 2004, UCLA joined the HRSA Organ Donation Breakthrough Collaborative. In partnership with OneLegacy and the work of many staff and physicians, we improved our organ donation rate from an average of 40 percent to over 75 percent. Our success comes from our ability to modify and adopt the Collaborative best practices by engaging our staff and multidisciplinary team.

What is your role in this process?
I facilitate. I have some direct involvement in my unit, but at the system level I help to create the protocols to facilitate the sharing of information. I’m not only the liaison between the Medical Center and One Legacy, I’m also the cheerleader!

What do you find particularly rewarding?
Seeing healthy patients visit us after they’ve survived their illness and to see how happy that makes the staff.

When our patients return for a visit, we take two Polaroid camera shots of them — one for them to keep, and one for the staff bulletin board. This reminds us all to always keep the end goal in sight of what is possible.

Describe one of your most memorable experiences.
There are so many, but one stays with me in particular. Many years ago, a young man came in to the ICU with a severe open-head injury from a car accident. He was deemed impossible to save even in the eyes of the neurosurgeon. He went to the OR for a debriedment of his severe injury and was brought into the ICU for what was expected to be end-of-life care. We cared for him and his family in the ICU for weeks. He survived, and was discharged. After extensive rehabilitation, he regained a great deal of function. The day he walked back in to the ICU using only a cane was a great day! A great challenge in this job is to balance hope with reality. I feel we need to inspire hope in our patients and families, but in a realistic way.

Describe the most challenging/frustrating experience you’ve had.
In general, the most challenging experiences are when systems interfere with our ability to provide patient care.

Would you choose nursing again as a career?
Absolutely! What a privilege it is to be able to share with patients and their families, our care and compassion during a significant life event. Moving to California was a huge and unexpected decision for me. I have a terrific life here with great friends, a great job and boss, and a wonderful staff.

 
 
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