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Celeste Surreira

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Celeste Surreira was talking about her work, and, added specifically, the altered constituency she serves, aback she abruptly chock-full in mid-sentence.

Strains of “Anchors Away,” the action song of the U.S. Naval Academy, had permeated the walls of her office, and she knew absolutely what that meant: the Soldiers’ Home in Holyoke was giving a Navy adept a ‘farewell.’

Rising from her bench quickly, she arrive BusinessWest to chase her to what she promised would be a austere and badly able ceremony. That was an understatement.

In the advanced antechamber of the Soldiers Home sat a casket covered by a quilt, blooming accurately for a Navy veteran, that was fabricated by one of the facility’s nurses. Abaft it stood abounding ancestors members. To the abandon were Soldiers’ Home staffers, who, in abounding respects, are additionally ‘family’ for this alone — and all added veterans who appear there.

Collectively, they assembled, with calmly over their hearts, and heard about his activity — not aloof about his account in the Seabees (the U.S. Naval Construction Battalions) during World War II, but about his ancestors (three sons, 13 grand-children, and “eight, anon to be nine” great-grandchildren); the decades he spent as a bartering painter (he and his ancestor helped acrylic the Soldiers’ Home aback it aboriginal opened in 1952); his adulation for Holyoke, his adept home; his amore for golf; and more.

Then came “Taps.” And abounding tears.

Walking aback to her office, Surreira put the commemoration in its able context, and in so accomplishing helped explain why she came to the Soldiers’ Home in 2014 and why she is so amorous about the abounding facets of her assignment that she was called the Healthcare Hero in arguably the best aggressive class — Health/Wellness Adminstrator/Administration.

“They go out the aforementioned aperture they came in — it’s our account to them,” she said of the servicemen and women actuality accustomed a farewell. “And that’s actual important. Aback I formed in the hospital, afterlife was article we hid, like it was like a failure; they [deceased patients] went out the aback door. Here, afterlife is a anniversary of life; there’s no shame. They go out the advanced door.”

“When I formed in the hospital, afterlife was article we hid, like it was like a failure; they [deceased patients] went out the aback door. Here, afterlife is a anniversary of life; there’s no shame. They go out the advanced door.”

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Surreira would allege generally about the veterans she now serves as she talked about her career and her accepted work, because the clientele, if you will (they artlessly alarm them ‘veterans’ here), is absolutely unique, and this is reflected in aggregate from how casework are delivered to how these individuals are addressed.

“I anticipation this was a absolutely absorbing citizenry to accept the account to assignment with,” she said, abacus that the Soldiers’ Home, a 265-room, long-term-care adeptness (which additionally has outpatient casework and a domiciliary), represents a cogent career about-face for her, with best of her 33 years in nursing accepting been spent in the emergency room. But in abounding ways, the issues and challenges adverse veterans at the adeptness and the providers caring for them mirror those of association in accepted as the citizenry ages and bodies alive longer.

“This is area healthcare is going,” she told BusinessWest. “The citizenry is alive best with abiding diseases. This is the citizenry with which we’re absolutely activity to accept to achieve an appulse if we’re activity to administer the needs of the all-embracing citizenry over the aing 30 years.”

In her role as abettor administrator of Nursing, Surreira has a diffuse job description, and considers herself — and, added to the point, she’s advised by others — to be a affliction provider, leader, teacher, mentor, and role model.

And she takes anniversary of those responsibilities actual seriously, abnormally the baton and role-model parts.

“Leadership and administering are two altered things,” she told BusinessWest. “You can manage, which agency accomplishing amount or accomplishing a agenda or cogent addition what to do. Or you can lead, which to me agency alarming bodies to become leaders.

“You can’t advance if you don’t accept affecting intelligence,” she went on. “People are aloof activity to see you as the boss. And no one absolutely follows the boss; they’re not aggressive by bosses. I’ve consistently said, if you accept to acquaint addition what your appellation is in adjustment for them to apperceive you’re the leader, again you’re not absolutely the baton — addition abroad in the allowance is the leader.”

One of Surreira’s alive definitions of a baton is that of an alone who can assignment with others to achieve absolute change and advance affection of activity for those actuality served, and as we’ll see, there are abounding examples of how she’s been able to do aloof that, and appropriately become a accurate Healthcare Hero.

They alarm it the ‘Walk Beyond America.’

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This is a walking clue of sorts at the Soldiers’ Home, amid aloof alfresco the facility’s adjust area; 22 laps equals a abounding mile. There’s a mural accoutrement a few hallways depicting altered places beyond the country, appropriately the name, said Surreira, and altered administrators are absolutely assigned to assertive veterans to airing with them beyond America on canicule the veterans accept themselves.

Celeste Surreira says the Airing Beyond America (that’s the St. Louis console aural the mural abaft her) is one of abounding initiatives aimed at convalescent the advancement of veterans at the Soldiers’ Home in Holyoke.

The clue is one of several ‘places to move,’ as Surreira calls them, that accept been created in contempo years as allotment of a ample accomplishment to enhance the advancement of the veterans at the Soldiers’ Home and appropriately advance affection of activity and absolutely abate the amount of falls.

As with best all initiatives at this facility, this was (and is, as such assignment is ongoing) a aggregation accomplishment — absolutely a aggregation with several abate teams aural it, such as the one assigned the assignment of creating places to move, she told BusinessWest.

The Airing Beyond America is aloof one archetype of that absolute change and advance in affection of activity mentioned beforehand that Surreira has helped arrange aback accession at the Soldiers’ Home in 2014.

She had been alive aloof alfresco Atlanta as an acting administrator of Emergency Casework at Rockdale Medical Center, and was attractive to acknowledgment to Western Mass., area she spent abundant of her career.

Indeed, she started in the emergency administering at Ludlow Hospital in 1985, again spent added than two decades at Mercy Medical Center, starting as an agents RN and eventually advancing to administrator of the Emergency Department. Beforehand this decade, there was a abbreviate assignment as authoritative administrator of Emergency Casework at Cooley Dickinson Hospital.

“I was attractive at altered positions up here, and I accustomed a alarm apropos an befalling at the Soldiers’ Home,” she recalled. “They were attractive for a leader, addition who could appear in and do some mentoring on leadership, and it articulate actual interesting; it was a absolute change of clip for me to go into abiding affliction as able-bodied as geriatrics, but accustomed my absorption in administering and adept healthcare, a adventitious to assignment clinically, and all those things advancing together, I anticipation that it would be a acceptable befalling for a change.”

And to assignment with an beforehand citizenry (most of the veterans are in their 80s and 90s) that, as acclaimed earlier, reflects some of the larger, added circuitous issues adverse all those in healthcare — specifically, not alone caring for beforehand individuals, but additionally allowance them advance adeptness and a aerial affection of life.

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“Our focus is absolutely on how to advance a acceptable affection of activity for these beforehand veterans,” Surreira explained. “We accept 94- and 95-year-olds alive actual well.”

With this ample ambition in mind, Surreira has created, and serves on, a cardinal of process-improvement teams alive on such affairs as abbreviation the use of anti-psychotic medications, blurred the amount of falls, convalescent mobility, medication safety, and abounding others.

And as these teams abode anniversary of these areas, they do so with affection of activity in mind, she said, application abridgement of avalanche as an example. This could calmly be able by abbreviation one’s mobility, so he or she doesn’t get into positions area they can fall, Surreira went on. But this doesn’t agree to a aerial affection of life.

“This is area healthcare is going. The citizenry is alive best with abiding diseases. This is the citizenry with which we’re absolutely activity to accept to achieve an appulse if we’re activity to administer the needs of the all-embracing citizenry over the aing 30 years.”

“What we don’t appetite to do is advance the use of things like restraints and alarms, because they don’t acquiesce bodies to move and self-propel,” she explained. “So what we try to do is admonish them of assurance and animate their mobility; we appetite bodies to move, we appetite to booty them for walks, we appetite to do aggregate we can to advance advancement while additionally abbreviation the accident of accepting aching from that abatement if you do fall.”

To achieve all this, Surreira leads the alleged ‘enhancing advancement team,’ which consists of several departments, including nursing, rehab, amusing work, facilities, and pharmacy alive collaboratively to apparatus evidence-based interventions that will enhance advancement and abate falls. This aggregation has implemented a alternation of behavior and procedures, including the addition of a circadian ‘fall huddle,’ interdisciplinary rounding, annual advancement screens, abundant affliction affairs that accommodate advancement goals, and approved ysis of polypharmacy.

As a result, the Soldiers’ Home has apparent a accepted abridgement in fall-related injuries and a apparent access in the advancement of its population.

As acclaimed earlier, Surreira’s position comes with a diffuse job description and account of responsibilities. And alone a allocation of them absolutely administer to the veterans actuality served.

The blow accept to do with those added functions (for abridgement of a bigger term) that she carries out, including that of actuality a leader, a mentor, and a role model. Her adeptness to be all those things is a big acumen why she was assassin — and her admiration to always body aloft those abilities and add new layers to already ample amounts of acquaintance explains why she took it.

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As she talked about actuality a leader, for example, she equated it to parenting.

“You blend up a lot, and again you apprentice how to be a bigger parent; it’s the aforementioned with actuality a leader,” she explained. “I anticipate I’m a altered baton now than aback I started this journey, because it’s actual humbling.”

Elaborating, she acclaimed that one of the things she’s abstruse over the years is the accent of alive listening.

“In adjustment to apprehend the person, you can’t be cerebration about your acknowledgment already,” she said, citation a mindset captivated by all acknowledged leaders. “You accept to be absolutely focused on what they’re aggravating to acquaint you.

“You additionally charge affecting intelligence, which agency demography the time to apperceive area that actuality is advancing from and be queued into what they’re aggravating to acquaint to you,” she went on. “Often, I acquaint people, ‘it’s not what they’re saying, but what they’re not saying; it’s not the words they’re saying, necessarily, but how they’re adage them. They may be adage something, but that’s not what they’re acceptation or alike intending.”

Surreira said mentoring takes abode in abounding agency and on several altered levels in her assignment at the Soldiers’ Home, including the academic teaching she does on capacity alignment from administering to role-modeling.

“Mentorship from a administering angle takes abode in a cardinal of ways,” she explained. “Sometimes it takes abode in aloof circadian interactions area you accept opportunities to accept a chat with someone, accommodate addition with acknowledgment … it’s all allotment of accord architecture with those folks. Added times, it is added formal, such as the teaching I do.

As for the role-modeling, well, that allotment of it can absolutely alone appear as one adds layers of hands-on acquaintance to their résumé, learns from antecedent mistakes, and develops a aerial amount of that all-important additive accepted as affecting intelligence.

“Even admitting addition may be administering a bearings in a assertive way, you can role-model a altered way — that’s apparently the best able affair to do,” she explained.

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As an example, she cited a bearings area there’s battle activity on and the altercation amid individuals is accepting absolutely heated.

“Managing yourself is apparently the best important affair in those situations,” she said. “You administer your own reactions — the louder added association may get, the quieter you get; the faster they talk, the slower you speak.

“Overall, mentoring involves architecture relationships and alarming trust,” she went on, abacus that ‘leading by example’ isn’t a academic band on her job description, but it’s a assignment she carries out every day.

Walking aback to her appointment from the Navy veteran’s farewell, Surreira said the Soldiers’ Home acutely conducts abounding of these ceremonies. “Sometimes there will be two or three a day, and sometimes we’ll go a anniversary after one,” she said, abacus that, like best agents members, she tries not to absence a distinct one.

That’s because, as she said, at this facility, afterlife isn’t article to be abashed of; it’s not a failure. It’s allotment of a activity actuality celebrated.

And convalescent the all-embracing affection of that activity has become the focal point of anniversary alone and anniversary aggregation at the Soldiers’ Home.

Surreira’s leadership, mentoring ability, and affection for actuality a absolute role accept not alone played a cardinal role in all this, they’ve fabricated her a Healthcare Hero in administration.

George O’Brien can be accomplished at [email protected]

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