2016 Kaiser Permanente Extraordinary Nurse Award winner Milanelle Guiao-Tranchina, RN, BSN, CMSRN, has a nursing practice equally informed by competence and compassion.
At Kaiser Permanente’s South Sacramento Medical Center, where Milanelle Guiao-Tranchina works as a staff nurse IV on the Medical Surgical Telemetry Unit, patients and staff are encouraged to share feedback about employees who demonstrate safety, compassion, integrity, excellence, and efficiency.
“Each month, we receive at least 5 submissions about Lanie,” said her colleagues.
The list of Guiao-Tranchina’s accomplishments is long: She’s an active member of the department’s Quality Council, serves on committees devoted to Caring Science and sepsis prevention, and leads community outreach projects. She mentors fellow nurses to achieve professional advancement and helps them reduce stress as a HeartMath trainer.
Guiao-Tranchina shared some reflections on her nursing journey:
What made you want to become a nurse?
I’m from the Philippines, where nurses are held in high regard. Every mother dreams of having her daughter become a nurse. Since I had been caring for family most of my life, it was a natural transition, and it’s been my calling ever since.
What do you love about nursing?
I’m very sociable, and I love talking with people and hearing their stories. Sometimes we have patients who are very sick, and we can’t save them. But I do everything I can to help them have a happy ending to their story.
What’s the most challenging part of your work?
Making the transition from being a nurse who is very efficient and takes care of her patients, to being a mother to my 2 kids and a wife to my husband. My adrenaline level is very high all day. At the end of my shift, I need to re-channel that energy to create my own healing environment.
What was one of your most memorable moments as a nurse?
I had an older patient who had been living on the streets and was doing very poorly. The doctor told him he had about a week to live. I asked him if he had any last wishes, and he said that he wanted to say goodbye to his son, who he had lost contact with, and feel the sun on his face one last time.
My nursing assistant immediately started trying to locate his son. And I started making arrangements for him to be able leave the unit. By 2 p.m., his son arrived. The father’s face lit up, and I heard him apologize, and then he talked with his son for nearly an hour. Afterwards, the RN transport brought the patient outside. It was a beautiful day, with sunshine and a cool breeze. When he came back, he thanked me and said, “I think I am ready.”
Can you describe a professional achievement you’re proud of?
I developed a program called the Enhanced Care Experience Project, which uses comfort measures like therapeutic touch and music therapy and aromatherapy. Nurses go room to room and spend some uninterrupted time with patients or family members, putting on soft music and offering a hand massage. People appreciate it so much and report a significant improvement in their care experience.
I was chosen to present the program at the 2016 Caritas Consortium, alongside nursing leaders like Dr. Jean Watson, the mother of Caring Science!
What advice do you have for nurses who are new to KP?
Nursing is all about heart. If you get into nursing just for the paycheck, you will always be tired, dissatisfied, and unhappy. But if you bring your heart into this profession, you will find career opportunities and advancement.
What would people be surprised to learn about you?
I ride a Harley. People don’t expect that because I keep my hair in a bun and wear high heels. But I married a guy who rides a Harley, and I vowed to stay with him in sickness and health.
This Post Has 10 Comments
More Power. Congratulations!!!
Congratulations, Kabayan! You made your fellow Filipinos here at Kaiser so proud. As the saying goes, “Love a nurse, you will never regret it”. mabuhay ka!
Lanie used to be my coworker here in SSF. She is very compassionate and she really puts her heart to her job! We miss you, Lanie, I miss those hand massages from you! Lol! 🙂
I enjoyed your story. I’d love for you to be my nurse one day if needed. You have such a caring heart.
I’m no longer practicing nursing … but your story reminded me what I loved about nursing. I miss the patients the most. Keep up the great work. Happy Nurses Week.
Congratulations, Lani!! You deserve all the recognition. Keep up the great work.
Rhonda (Kaiser SSF)
Lanie, congratulations on being selected a KP Extraordinary Nurse. I looked at the picture and thought, “Wait; I know her from SSF!” You are truly a role model. I’m so happy to see that you are continuing to bloom at South Sac; we miss you.
I’m so very touched by your story, especially about the homeless man. I’m so happy I’m a part of the Kaiser family. I’m a medicial assistant and what inspired me to get into health care was my grandmother, who died of dementia. I love the patients.
Really touching! That makes me love what I do more … with love and compassion … that’s how I want to embrace my profession.
Lai used to be a nurse here in Kaiser Permanente South San Francisco and she is passionate about her work and a very cheerful and nice person to work with because she’s always in a good mood and with a smile on her face.
I’m so very touched by your story. I will be sure to share it with my daughter who is presently in her second year of college pursuing a Nursing degree. I, myself, am originally from the Philippines. I do let both my children know that I’d like for them to do/pursue what they feel and believe would make them content/happy in life. It’s great to know that you love your profession as a nurse. We certainly do need more nurses like you! Thanks for sharing your awesome story!!